Individual
LORI MATHIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LBSW
Contact information
Practice address
236 S PATTIE AVE, WICHITA, KS 67211-1719
(316) 867-0259
Mailing address
130 E 5TH ST, NEWTON, KS 67114-2206
(316) 283-6743
(316) 283-6830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01708
KS
104100000X
Social Worker
8790
KS
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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