Warner-Long, Kathleen Joan

Warner-Long, Kathleen Joan is an individual health care provider with primary practice located at 506 Avenue L , Dodge City KS 67801. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Warner-Long, Kathleen Joan can be contacted via phone (620) 227-8566.

Contact Information

Primary practice address
506 Avenue L Dodge City KS 67801
Fax: (620) 225-5824
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC0076 Maryland

Profile Details

NPI number 1881710879
LBN Legal business name Warner-Long, Kathleen Joan
Credentials MED, LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Aug 29th, 2018 - 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 1881710879 NPPES
Maryland MEDICAID 407449100

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