Nicole West

Individual provider Active NPI Marriage & Family Therapist · Council Grove, KS

NPI 1972926418 · NPPES record last updated Feb 3, 2014

Key facts

NPI
1972926418
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
2538 (KS)
Practice address
221 W Main St
Council Grove, KS 66846-1704
Phone
(785) 815-0466
NPI assigned
Feb 3, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2538KSMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2538 KS Yes

Addresses

Primary practice location

221 W Main St
Council Grove, KS 66846-1704

Mailing address

2800 Blakewood PL
Manhattan, KS 66502-2131
Phone (816) 214-1854

Other names

  • Miss Nicole Campbell Former name

Other providers in Council Grove, KS

All providers in Council Grove, KS · Marriage & Family Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.