Individual provider · Type 1 NPI
Kenneth Holloway, MPH, LCAC
Addiction (Substance Use Disorder) Counselor · Wichita, KS
NPI number
1902210768
Active
Practice location
2924 E Douglas Ave
Wichita, KS 67214-4709
Fax (316) 265-5047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 168 (KS) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1902210768
Kenneth Holloway, MPH, LCAC's National Provider Identifier is 1902210768, issued on Jun 19, 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 19, 2014.