Individual
SACIA QUATTLEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMAC-T
Contact information
Practice address
714 S HILLSIDE ST, WICHITA, KS 67211-3002
(316) 295-4800
Mailing address
714 S HILLSIDE ST, WICHITA, KS 67211-3002
(316) 295-4800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
336
KS
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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