Individual
SHONNETTA LACHAN GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LAC
Contact information
Practice address
2707 E. 21ST ST. N, WICHITA, KS 67214
(316) 691-0249
(316) 691-9939
Mailing address
3307 S FERN, WICHITA, KS 67217
(316) 390-3761
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1536
KS
104100000X
Social Worker
Primary
10468
KS
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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