Individual provider · Type 1 NPI

Miketo Michelle Kirk, A.A., LAC

Addiction (Substance Use Disorder) Counselor · Wichita, KS

NPI number 1740664648 Active

Practice location

2050 West 11th St.
Wichita, KS 67203

Call (316) 267-5710 Map

Mailing address

1902 E Looman St
Wichita, KS 67219-4532

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X680 (KS)

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

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About NPI 1740664648

Miketo Michelle Kirk, A.A., LAC's National Provider Identifier is 1740664648, issued on Jul 10, 2015. 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 Jul 10, 2015.