Individual
ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
271 W 3RD ST N STE 600, WICHITA, KS 67202-1223
(316) 660-7600
Mailing address
271 W 3RD ST N STE 600, WICHITA, KS 67202-1223
(316) 660-7600
(316) 941-5075
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
03361
KS
101YP2500X
Professional Counselor
Primary
3335
KS
104100000X
Social Worker
3274
KS
Other
Enumeration date
08/14/2018
Last updated
10/26/2022
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