Individual provider · Type 1 NPI

Christina Marie Wakeman, LAC-ST

Addiction (Substance Use Disorder) Counselor · Wichita, KS

NPI number 1124993373 Active

Practice location

939 N Main St
Wichita, KS 67203-3608

Call (316) 263-8807 Map

Fax (316) 263-9681

Mailing address

914 SE 3rd St
Newton, KS 67114-3926

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X02001-TS (KS)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124993373

Christina Marie Wakeman, LAC-ST's National Provider Identifier is 1124993373, issued on Oct 8, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wichita, KS. The record was last updated on Oct 8, 2025.