Provider Information for 1902873698
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
MICHAEL JAMES LCP; LPC; MAC; NCC
Sex: Male
NPI: 1902873698
Last Updated: 2011-02-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1902873698 | ||||||||||||||||
| Enumeration Date | 2006-03-02 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 500 LIMIT ST LEAVENWORTH, KS 66048-4435 United States Phone: 913-682-5118 | Fax:913-682-4664 | ||||||||||||||||
| Primary Practice Address | 500 LIMIT ST LEAVENWORTH, KS 66048-4435 United States Phone: 913-682-5118 | Fax:913-682-4664 | ||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|