Individual
MICHELLE DIANE PECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
8080 E CENTRAL AVE STE 320, WICHITA, KS 67206-2389
(316) 927-3010
Mailing address
4319 N BARTON CREEK CIR, WICHITA, KS 67226-4229
(316) 214-9879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
03848
KS
101YM0800X
Mental Health Counselor
3581
KS
101YP2500X
Professional Counselor
Primary
03848
KS
Other
Enumeration date
05/06/2022
Last updated
05/14/2026
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