Organization · Type 2 NPI

Summit Ranch LLC

Mental Health Counselor · Shawnee, KS

NPI number 1306561147 Active

Practice location

18555 Johnson Dr
Shawnee, KS 66217-8206

Fax (913) 424-2440

Mailing address

18555 Johnson Dr Ste 119
Shawnee, KS 66217-8206

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1306561147

Summit Ranch LLC's National Provider Identifier is 1306561147, issued on Oct 4, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shawnee, KS. The record was last updated on Oct 4, 2022.