Individual
JACQUELINE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMLP-T, LMSW
Contact information
Practice address
300 W DOUGLAS AVE STE 610, WICHITA, KS 67202-2917
(316) 945-6042
Mailing address
1224 LAZY CREEK CT, NEWTON, KS 67114-8907
(316) 737-7435
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03557-T
KS
104100000X
Social Worker
Primary
10426
KS
Other
Enumeration date
10/03/2024
Last updated
08/06/2026
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