Individual
ALICIA ANN CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLAC
Contact information
Practice address
551 S HOLLAND ST, WICHITA, KS 67209-2007
(316) 796-5775
(316) 796-5773
Mailing address
551 S HOLLAND ST, WICHITA, KS 67209-2007
(316) 796-5775
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1644
KS
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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