JACOB CHARLES HUDANICK LPC-T
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1184447641- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC-T
- Status
- Active
Contact & Location
- Address
- 555 N WOODLAWN ST, WICHITA, KS, 672083646
- Phone
- (636) 248-5979
Specialties & Taxonomies
Counselor, Professional
Primary License: KS #04885-T