Individual
NICOLE DANIELLE MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP-T
Contact information
Practice address
8700 E 29TH ST NORTH, WICHITA, KS 67226
(316) 213-4758
Mailing address
8700 E 29TH ST NORTH, WICHITA, KS 67226
(316) 634-8710
(316) 534-8891
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1199
KS
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/18/2008
Last updated
08/13/2015
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