Individual
MR. CODY L BEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW, LCAC
Contact information
Practice address
9333 E 21ST ST N, WICHITA, KS 67206-2927
(316) 634-4700
(316) 634-4770
Mailing address
1901 E 1ST ST; PO BOX 467, NEWTON, KS 67114-0467
(316) 284-6400
(316) 284-6490
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
658
KS
1041C0700X
Clinical Social Worker
Primary
4808
KS
Other
Enumeration date
05/23/2015
Last updated
01/30/2025
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