Individual
KAITLIN LYNN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8080 E CENTRAL AVE STE 230, WICHITA, KS 67206-2369
(316) 721-8118
(316) 721-8139
Mailing address
8080 E CENTRAL AVE STE 230, WICHITA, KS 67206-2369
(316) 721-8118
(316) 721-8139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC05509
KS
Other
Enumeration date
07/28/2026
Last updated
08/04/2026
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