MRS. Kacey Ann Countryman, LPC

NPI #1679763130 in El Dorado, Kansas

Provider Information

NPI Number
1679763130
Entity Type
Individual
Name
MRS. Kacey Ann Countryman, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Jul 30, 2007
Last Updated
Jul 30, 2007

Practice Location

Address
2365 W CENTRAL AVE
State
Kansas
ZIP Code
67042-3208
Phone
(316) 321-6036

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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