Individual
SASHA NICOLE LOCKABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LMAC
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
2304 W CASADO ST, WICHITA, KS 67217-1704
(316) 519-7271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
882
KS
104100000X
Social Worker
Primary
11360
KS
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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