Gadt-Johnson, Chalisa Danyelle

Gadt-Johnson, Chalisa Danyelle is an individual health care provider with primary practice located at 4101 S 4Th St , Leavenworth KS 66048-5014. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Gadt-Johnson, Chalisa Danyelle can be contacted via phone (913) 682-2000.

Contact Information

Primary practice address
4101 S 4Th St Leavenworth KS 66048-5014
Phone: (913) 682-2000
Fax: (913) 758-4277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1259 Kansas

Profile Details

NPI number 1467499368
LBN Legal business name Gadt-Johnson, Chalisa Danyelle
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 5th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467499368 NPPES
Kansas MEDICAID 200259610B

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