Doctor Name: | RAILENE KAY AHRING |
NPI Number: | 1245622786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC PCCM |
License Number: | LAC 155 |
Business Practice Address: | 223 6th St Suite B Osawatomie, KS - 660641401 |
Business Phone Number: | 9137552081 |
Business Fax Number: | 9137552083 |
Mailing Address: | 223 6th St, Suite B OSAWATOMIE |
State: | KS |
Postal Code: | 660641401 |
Phone Number: | 9137552081 |
Fax Number: | 9137552083 |
NPI Enumeration Date: | 02/20/2015 |
NPI Last Update Date: | 02/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LAC 155 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |