DR. Waneko Chantele Bivens, MM, PHD

NPI #1629797303 in Andover, Kansas

Provider Information

NPI Number
1629797303
Entity Type
Individual
Name
DR. Waneko Chantele Bivens, MM, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
MM, PHD
Enumeration Date
Aug 25, 2022
Last Updated
Aug 25, 2022

Practice Location

Address
1524 W ELM ST
State
Kansas
ZIP Code
67002-9027
Phone
(302) 480-0573

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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