Individual
MRS. JANEL R SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LMAC
Contact information
Practice address
300 W DOUGLAS AVE STE 205, WICHITA, KS 67202-2904
(316) 759-9136
(316) 500-7862
Mailing address
300 W DOUGLAS AVE STE 205, WICHITA, KS 67202-2904
(316) 759-9136
(316) 500-7862
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
150
KS
104100000X
Social Worker
8527
KS
1041C0700X
Clinical Social Worker
Primary
05654
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13564020
CAQH
KS
05
—
201125860A
—
KS
05
—
3004627850001
—
LA
Enumeration date
10/04/2014
Last updated
09/27/2023
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