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Contact Information

MINDY GUSTUS, BSW, LAC
122 N MILLWOOD ST
WICHITA, KS67203-5850
 Phone: 316-265-6011
 Fax: 316-265-4022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MINDY GUSTUS · (Female)

NPI # 1073937603
Status Active
Credentials BSW, LAC
Entity Individual
Enumeration date 02/18/2014
Last updated 02/18/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KS License # LAC 476
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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