Provider Demographics
NPI:1124434055
Name:KANSAS STATE UNIVERSITY COUNSELING SERVICES
Entity type:Organization
Organization Name:KANSAS STATE UNIVERSITY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WESELY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP
Authorized Official - Phone:785-532-6927
Mailing Address - Street 1:232 ENGLISH/COUNSELING SVCS BLDG
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66506-6500
Mailing Address - Country:US
Mailing Address - Phone:785-532-6927
Mailing Address - Fax:785-532-3932
Practice Address - Street 1:232 ENGLISH/COUNSELING SVCS BLDG
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66506-6500
Practice Address - Country:US
Practice Address - Phone:785-532-6927
Practice Address - Fax:785-532-3932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health