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Contact Information

ALYSSA J PORTER, LMSW, LAC
3310 E DOUGLAS AVE
WICHITA, KS67208
 Phone: 316-617-9831
 Fax:
 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 ALYSSA J PORTER · (Female)

NPI # 1437430170
Status Active
Credentials LMSW, LAC
Entity Individual
Enumeration date 09/08/2011
Last updated 05/24/2018 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 167
  • KS License # 4792
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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