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FAMILY THERAPY INSTITUTE MIDWEST

Organization (NPI-2) Active

Psychologist, Clinical Child & Adolescent

Provider Information

NPI Number
1306872064
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
2619 W. 6TH STREET, SUITE C, LAWRENCE, KS, 66049
Phone
(785) 830-8299
Fax
(785) 749-2581

Specialties & Taxonomies

Social Worker License: KS #6890
Registered Nurse, Psych/Mental Health, Child & Adolescent License: KS #46111
Psychologist, Clinical Child & Adolescent License: KS #1109
Social Worker, Clinical License: KS #1740
Social Worker, Clinical License: KS #3569
Registered Nurse, Psych/Mental Health, Child & Adolescent License: KS #74564
Psychologist, Clinical Child & Adolescent Primary License: KS #0894

All Addresses

LOCATION

2619 W. 6TH STREET, SUITE C

LAWRENCE, KS, 66049

(785) 830-8299

MAILING

2619 W. 6TH STREET, SUITE C

LAWRENCE, KS, 66049

(785) 830-8299