Individual provider · Type 1 NPI

Jacqualine Neely, LAC

Addiction (Substance Use Disorder) Counselor · Wichita, KS

NPI number 1699106864 Active

Practice location

940 N Waco Ave
Wichita, KS 67203-3947

Mailing address

635 N Main St
Wichita, KS 67203-3602

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X105 (KS)

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

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About NPI 1699106864

Jacqualine Neely, LAC's National Provider Identifier is 1699106864, issued on Dec 12, 2013. 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 Dec 12, 2013.