Individual provider · Type 1 NPI

Waneko Chantele Bivens, MM, PhD

Mental Health Counselor · Andover, KS

NPI number 1629797303 Active

Practice location

1524 W Elm St
Andover, KS 67002-9027

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XTH732068 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1629797303

Waneko Chantele Bivens, MM, PhD's National Provider Identifier is 1629797303, issued on Aug 25, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Andover, KS. The record was last updated on Aug 25, 2022.