Individual provider · Type 1 NPI
Elaine Mzhickteno Barr, LMSW LCAC
Addiction (Substance Use Disorder) Counselor · Mayetta, KS
NPI number
1043630650
Active
Practice location
11400 - 158th Road
Mayetta, KS 66509-0174
Fax (785) 966-8386
Mailing address
PO Box 174, 11400 - 158th Road
Mayetta, KS 66509-0174
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 335 (KS) |
| Social Worker | 104100000X | 6929 (KS) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1043630650
Elaine Mzhickteno Barr, LMSW LCAC's National Provider Identifier is 1043630650, issued on Apr 22, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mayetta, KS. The record was last updated on Apr 22, 2014.