Doctor Name: | MRS. KRISTIN MICHELE FEEBACK |
NPI Number: | 1457697252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSCSW |
License Number: | 4192 |
Business Practice Address: | 1017 S Tennessee Ave Chanute, KS - 667202663 |
Business Phone Number: | 6202125082 |
Business Fax Number: | |
Mailing Address: | Po Box 13, CHANUTE |
State: | KS |
Postal Code: | 667200013 |
Phone Number: | 6202125082 |
Fax Number: | |
NPI Enumeration Date: | 12/26/2012 |
NPI Last Update Date: | 12/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |