Chelsea Ajuka Anukam, LAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Wichita, KS

NPI 1871037481 · NPPES record last updated Dec 15, 2016

Key facts

NPI
1871037481
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LAC203 (KS)
Practice address
801 E Douglas Ave FL 2
Wichita, KS 67202-3548
Phone
(316) 550-1887
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LAC203KSMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC203 KS Yes

Addresses

Primary practice location

801 E Douglas Ave FL 2
Wichita, KS 67202-3548

Mailing address

PO Box 8701
Wichita, KS 67208-0701
Phone (316) 550-1887

Other providers in Wichita, KS

All providers in Wichita, KS · Addiction (Substance Use Disorder) Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.