Individual
MICHELLE LAYNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW, LCAC
Contact information
Practice address
527 N GROVE ST, WICHITA, KS 67214-4520
(316) 262-2415
(316) 262-4734
Mailing address
527 N GROVE ST, WICHITA, KS 67214-4520
(316) 262-2415
(316) 264-4734
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
698
KS
1041C0700X
Clinical Social Worker
Primary
4951
KS
Other
Enumeration date
06/25/2009
Last updated
03/31/2021
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