| Organization Name: | CONNIE M. DULOHERY |
| NPI Number: | 1184681314 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CONNIE M. UNREIN-DULOHERY (CLINICAL COORDINATOR) |
| Mailing Address: | 7259 244th Rd Arkansas City |
| State: | KS US |
| Postal Code: | 670055825 |
| Phone Number: | 6204420551 |
| Fax Number: | 6204420551 |
| NPI Enumeration Date: | 05/01/2006 |
| NPI Last Update Date: | 01/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LSCSW1513 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |