Individual
MRS. ROSE M MATZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3811 N MERIDIAN AVE, WICHITA, KS 67204-3438
(316) 838-9200
(316) 838-0567
Mailing address
3811 N MERIDIAN AVE, WICHITA, KS 67204-3438
(316) 838-9200
(316) 838-0567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC 823
KS
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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