Individual provider · Type 1 NPI

Stacy White, LAC

Addiction (Substance Use Disorder) Counselor · Wichita, KS

NPI number 1861807323 Active

Practice location

3820 N Toben St
Wichita, KS 67226-2903

Call (316) 634-3954 Map

Fax (316) 634-3956

Mailing address

130 E 5th St, PO Box 711
Newton, KS 67114-2206

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X407 (KS)

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

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About NPI 1861807323

Stacy White, LAC's National Provider Identifier is 1861807323, issued on Jun 24, 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 Jun 24, 2014.