Individual
NATHAN Z MAGRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2944 S FERN ST, WICHITA, KS 67217-2426
(316) 218-7734
(316) 558-3067
Mailing address
2944 S FERN ST, WICHITA, KS 67217-2426
(316) 218-7734
(316) 558-3067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
852
KS
Other
Enumeration date
01/30/2013
Last updated
09/30/2024
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