Individual
LEINDA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
212 N HILLSIDE ST, WICHITA, KS 67214-4935
(316) 737-2107
Mailing address
212 N HILLSIDE ST, WICHITA, KS 67214-4935
(316) 737-2107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
714
KS
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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