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Contact Information

COUNSELING & MEDIATION CENTER INC
200 W DOUGLAS AVE STE 560
WICHITA, KS67202-3020
 Phone: 316-269-2322
 Fax: 316-269-2448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for COUNSELING MEDIATION CENTER INC · (Female)

NPI Number 1013021401
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2006
Last updated 10/19/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS Medicaid 20043041A
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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