| NPI | 1902356181 |
|---|---|
| Former Legal Business Name | ALICIA LANDRUM LPC LMAC, LLC |
| Entity Type | Organization |
| Authorized Contact | ALICIA ROSE LANDRUM Owner 316-347-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 073) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2024-04-15 |