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Individual

MRS. KATINA DAWN PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAC

Contact information

Practice address
8911 E ORME ST, WICHITA, KS 67207-2423
(163) 395-9395
Mailing address
8911 E ORME ST STE A, WICHITA, KS 67207-2424
(316) 686-7884
(316) 686-0036

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00862
KS
101YP2500X
Professional Counselor
1000
KS
103T00000X
Psychologist
Primary
2756
KS

Other

Enumeration date
04/22/2008
Last updated
03/17/2025
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