Individual
JENNIFER VOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP, LCAC
Contact information
Practice address
4155 E HARRY ST, WICHITA, KS 67218-3725
(800) 423-1342
(785) 628-3113
Mailing address
509 E ELM ST, SALINA, KS 67401-2353
(800) 423-1342
(785) 628-3113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
246
KS
103TC0700X
Clinical Psychologist
Primary
318
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200451650C
—
KS
Enumeration date
06/13/2006
Last updated
09/14/2020
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