Individual
WENDY HALVERSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMAC
Contact information
Practice address
1309 N DUNCAN ST, NEWTON, KS 67114-5704
(316) 283-7829
Mailing address
920 E 12TH ST, NEWTON, KS 67114-2360
(620) 218-1331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00917
KS
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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