Individual
DELVON STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LMAC
Contact information
Practice address
350 S BROADWAY AVE, WICHITA, KS 67202-4304
(316) 660-9600
(316) 660-9660
Mailing address
271 W 3RD ST N STE 600, WICHITA, KS 67202-1223
(316) 660-7600
(316) 941-5075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
327
KS
101YP2500X
Professional Counselor
Primary
3195
KS
Other
Enumeration date
01/30/2012
Last updated
04/05/2018
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