Individual
MS. PATRICIA JO WAHWASUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
649 150TH ST, POWHATTAN, KS 66527-9632
(785) 741-4234
Mailing address
649 150TH ST, POWHATTAN, KS 66527-9632
(785) 741-4234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
918
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
918
LAC
KS
Enumeration date
05/13/2021
Last updated
05/13/2021
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