Individual
STACEY MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5838 W 21ST ST N STE 100D, WICHITA, KS 67205-1795
(316) 535-7035
Mailing address
11822 W GRANT ST, WICHITA, KS 67209-4275
(316) 880-1998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04039
KS
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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