Individual
MS. LUCILLA HUSTAD BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
115 N. COOPER, OLATHE, KS 66061
(913) 780-9600
(913) 273-0720
Mailing address
115 N COOPER ST, OLATHE, KS 66061-3434
(913) 780-9600
(913) 273-0720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
153
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153
LAC
KS
Enumeration date
07/12/2013
Last updated
07/12/2013
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