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Contact Information

TRACIE DAVIS, LAC
8911 E ORME ST
SUITE A
WICHITA, KS67207-2423
 Phone: 316-686-7884
 Fax: 316-686-0036
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for TRACIE DAVIS · (Female)

NPI # 1861746109
Status Active
Credentials LAC
Entity Individual
Enumeration date 11/08/2012
Last updated 11/08/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 701
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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