Individual
ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMFT
Contact information
Practice address
22214 D ST, STROTHER FIELD, WINFIELD, KS 67156-7376
(620) 442-4540
Mailing address
1307 S ELIZABETH ST, WICHITA, KS 67213-3741
(316) 304-8017
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCMFT 329
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098100A
—
KS
01
—
391458
BCBS
KS
Enumeration date
09/27/2006
Last updated
10/12/2011
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