JACQUELIN NICKOLE PSOTA LCP
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1659420339- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCP
- Status
- Active
Contact & Location
- Address
- 614 MERCHANT ST, EMPORIA, KS, 668012859
- Phone
- (620) 794-8616
Specialties & Taxonomies
Psychologist, Clinical
Primary License: KS #926
Psychologist
License: KS #1495