Individual
DR. PETER MICHAEL MACHUTTA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.C.
Contact information
Practice address
2020 E BLAKE ST, WICHITA, KS 67211-5353
(316) 641-7698
Mailing address
2020 E BLAKE ST, WICHITA, KS 67211-5353
(316) 641-7698
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
718
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
718
KS
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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