Individual
MISS TAMARA LEAANN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LMAC
Contact information
Practice address
946 N WEST ST, WICHITA, KS 67203-1224
(316) 257-4140
Mailing address
946 N WEST ST, WICHITA, KS 67203-1224
(316) 257-4140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LMAC271
KS
104100000X
Social Worker
Primary
LMSW10156
KS
Other
Enumeration date
04/19/2017
Last updated
06/23/2026
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