Individual
HOLLY L PAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3446 S IDA AVE, WICHITA, KS 67216-1558
(316) 285-0857
(316) 330-3985
Mailing address
3446 S IDA AVE, WICHITA, KS 67216-1558
(316) 285-0857
(316) 330-3985
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3462
KS
Other
Enumeration date
03/05/2019
Last updated
04/10/2023
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