Basic Information
| Provider Information | |||||||||
| NPI: | 1821180654 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SWEET | ||||||||
| FirstName: | CHET | ||||||||
| MiddleName: | WAYNE | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
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| OtherLastName: | SWEET | ||||||||
| OtherFirstName: | CHESTER | ||||||||
| OtherMiddleName: | WAYNE | ||||||||
| OtherNamePrefix: | MR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 27633 91ST RD | ||||||||
| Address2: | |||||||||
| City: | ARKANSAS CITY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 670056246 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | |||||||||
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| Practice Location | |||||||||
| Address1: | 22214 D ST | ||||||||
| Address2: | STROHTER FIELD | ||||||||
| City: | WINFIELD | ||||||||
| State: | KS | ||||||||
| PostalCode: | 671567376 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6202219664 | ||||||||
| FaxNumber: | 6204424559 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.