Individual provider · Type 1 NPI
Gerald L. Vaillancourt Jr., LAC1596
Addiction (Substance Use Disorder) Counselor · Wichita, KS
NPI number
1982562831
Active
Practice location
200 W Douglas Ave Ste 360
Wichita, KS 67202-3019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1596 (KS) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1982562831
Gerald L. Vaillancourt Jr., LAC1596's National Provider Identifier is 1982562831, issued on Jan 12, 2026. 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 Jan 12, 2026.