Individual
LANICE KAY REISWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
745 W ACADEMY AVE, MAIZE, KS 67101-2000
(316) 722-4790
Mailing address
2514 N LAKE RIDGE CT, WICHITA, KS 67205-1321
(316) 259-0103
(316) 721-0492
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3069
KS
Other
Enumeration date
08/13/2017
Last updated
08/13/2017
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