Individual
LAURA CAROL CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
200 W DOUGLAS AVE STE 701, WICHITA, KS 67202-3013
(316) 882-7251
Mailing address
200 W DOUGLAS AVE STE 701, WICHITA, KS 67202-3013
(316) 882-7251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
434
KS
1041C0700X
Clinical Social Worker
Primary
2310
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069738
MEDICARE
KS
05
—
200303060A
—
KS
Enumeration date
09/23/2006
Last updated
06/05/2020
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