Provider Demographics
NPI:1295424265
Name:DICE, CARIANNE
Entity type:Individual
Prefix:
First Name:CARIANNE
Middle Name:
Last Name:DICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CARIANNE
Other - Middle Name:
Other - Last Name:KECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2029 BUCHANAN ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3405
Mailing Address - Country:US
Mailing Address - Phone:816-221-0305
Mailing Address - Fax:816-221-9121
Practice Address - Street 1:3630 SW BURLINGAME RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2050
Practice Address - Country:US
Practice Address - Phone:785-337-0308
Practice Address - Fax:816-221-9121
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor