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Contact Information

ALICIA R LANDRUM, LCPC, LMAC
515 N RIDGE RD STE 105
WICHITA, KS67212
 Phone: 316-347-7171
 Fax: 316-462-0920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ALICIA R LANDRUM · (Female)

NPI Number 1154877603
Status Active
Credentials LCPC, LMAC
Entity Individual
Enumeration date 08/25/2016
Last updated 04/19/2019 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 073
  • KS License # 2700
  • KS License # 2985
  • KS Medicaid 201143180A
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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