Individual
MR. SCOTT EDWARD SPRADLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
560 S OLIVER ST, WICHITA, KS 67218-2351
(316) 260-1127
(316) 260-1137
Mailing address
560 S OLIVER ST, WICHITA, KS 67218-2351
(316) 260-1127
(316) 260-1137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
813
KS
101YM0800X
Mental Health Counselor
Primary
813
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12206146
CAQH
KS
01
—
200438340B
KMAP
KS
Enumeration date
07/30/2007
Last updated
12/19/2019
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