Individual
CHRISTINA MARIE WAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC-ST
Contact information
Practice address
939 N MAIN ST, WICHITA, KS 67203-3608
(316) 263-8807
(316) 263-9681
Mailing address
914 SE 3RD ST, NEWTON, KS 67114-3926
(316) 263-8807
(316) 263-9681
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02001-TS
KS
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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