Individual
MRS. TERESA LEANNE HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMAC
Contact information
Practice address
610 N MAIN ST FL 2, WICHITA, KS 67203-3618
(316) 440-1600
Mailing address
610 N MAIN ST FL 2, WICHITA, KS 67203-3618
(316) 440-1600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
432
KS
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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