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Contact Information

AMY WACKER, LPC
25955 W 327TH ST
PAOLA, KS66071-4920
 Phone: 913-557-9096
 Fax: 913-294-9247
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for AMY WACKER · (Female)

NPI # 1013076819
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 12/07/2006
Last updated 02/11/2013 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KS License # LPC 845
  • KS Medicaid 200431960A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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