Individual
JACOB CHARLES HUDANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-T
Contact information
Practice address
555 N WOODLAWN ST, WICHITA, KS 67208-3646
(636) 248-5979
Mailing address
3324 E SUNFLOWER DR, DERBY, KS 67037-8688
(636) 248-5979
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04885-T
KS
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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