Phillip Dwain Hause, LPC

NPI #1437443850 in Gardner, Kansas

Provider Information

NPI Number: 1437443850
Entity Type: Individual
Name: Phillip Dwain Hause, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jun 2, 2011
Last Updated: Jun 2, 2011

Practice Location

Address: 115 S SYCAMORE ST
City: Gardner
State: Kansas
ZIP Code: 66030-1348
Phone: (913) 951-9476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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