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Individual

MS. ALICIA ROSE LANDRUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, LMAC

Contact information

Practice address
8406 W MAPLE ST, WICHITA, KS 67209-1470
(316) 347-7171
(316) 462-0920
Mailing address
8406 W MAPLE ST, WICHITA, KS 67209-1470
(316) 347-7171
(316) 462-0920

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
073
KS
101YP2500X
Professional Counselor
Primary
2700
KS
101YP2500X
Professional Counselor
2985
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201143180A
KS
Enumeration date
08/25/2016
Last updated
04/15/2024
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