Individual
AMANDA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 W MAY ST, WICHITA, KS 67213-3505
(316) 262-0505
(316) 262-7384
Mailing address
1319 W MAY ST, WICHITA, KS 67213-3505
(316) 262-0505
(316) 262-7384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1076
KS
101YM0800X
Mental Health Counselor
Primary
2540
KS
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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