Individual
SAMANTHA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
306 N ROCK RD STE 30, WICHITA, KS 67206-2256
(316) 512-1096
Mailing address
2303 W MANHATTAN DR, WICHITA, KS 67204-5421
(316) 804-0653
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3092
KS
Other
Enumeration date
09/22/2021
Last updated
07/25/2022
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