Individual
STACY BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
889 N MAIZE RD STE 100, WICHITA, KS 67212-4559
(316) 202-2110
Mailing address
8100 E 22ND ST N STE 2100-4, WICHITA, KS 67226-2330
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
05129-T
KS
Other
Enumeration date
08/18/2025
Last updated
09/23/2025
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