Provider Demographics
NPI:1255101655
Name:DURTSCHI, JARED ARNOLD (LMFT, PHD, MS)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:ARNOLD
Last Name:DURTSCHI
Suffix:
Gender:M
Credentials:LMFT, PHD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6898 N 52ND ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-8635
Mailing Address - Country:US
Mailing Address - Phone:720-878-4324
Mailing Address - Fax:
Practice Address - Street 1:2004 CLOCK TOWER PL STE 120
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-6404
Practice Address - Country:US
Practice Address - Phone:720-878-4324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMFT2465106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist