Individual
RANDY ECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS AAPS
Contact information
Practice address
140 N HYDRAULIC ST STE 700, WICHITA, KS 67214-4297
(316) 558-3066
(316) 558-3067
Mailing address
140 N HYDRAULIC ST STE 700, WICHITA, KS 67214-4297
(316) 558-3066
(316) 558-3067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07100901
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20060412A
—
KS
Enumeration date
09/30/2009
Last updated
09/30/2009
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