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MR. SHANE J MULLEN LCP

Clinical Child and Adolescent

Topeka, Kansas

Provider NPI: 1174640742

Provider Information:
MR. SHANE J MULLEN LCP
Gender: M
Not Sole Proprietor

Practice Location:
2950 SW WOODSIDE DR  TOPEKA, KS 66614 US
Tel: 785-272-5134  Fax: 785-272-4370

Business Mailing Address:
2001 MEADOWLARK LN  EMPORIA, KS 66801 US
Tel: 620-341-0865  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103T00000XBehavioral Health & Social Service Providers
Psychologist
KS052
Y103TC2200XBehavioral Health & Social Service Providers
Psychologist
KS052

Other Provider Identifiers:

IssuerNumberStateType
200434290BKS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CHILD ADOLESCENT JOBS KS - Page 1

1 CT Technologist PRN Leawood, KS, USA Provides care for birth to pediatric, pediatric/child patients between 1 to 11 years of age; adolescent patients between 12 to 17 years of age; adult patients between 18 to 64 years; and geriatric ...... Apply Now>>

2 Receptionist - PRN Hays, KS, USA KVC Hospitals in Hays, KS, offers psychiatric residential treatment services for children and adolescents in a modern, safe, secure and child-friendly environment. We are seeking a Receptionist to ...... Apply Now>>



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