Individual provider · Type 1 NPI

Wanda Shaw

Addiction (Substance Use Disorder) Counselor · Wichita, KS

NPI number 1770907438 Active

Practice location

1319 W May St
Wichita, KS 67213-3505

Call (316) 262-0505 Map

Fax (316) 262-7384

Mailing address

3932 N Amidon Ave
Wichita, KS 67204-3405

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X237 (KS)

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

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About NPI 1770907438

Wanda Shaw's National Provider Identifier is 1770907438, issued on Feb 14, 2014. 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 Feb 14, 2014.