Brian K Medaris, LPC Valid NPI
Individual provider · Professional Counselor · Manhattan, KS
- NPI
- 1881322212
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 04074-T (KS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-08-12
- Last updated
- 2022-08-12
Practice location
1408 Poyntz Ave
Manhattan, KS 66502-4145
(785) 776-4105