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Leatanya Koppa, LPC
Professional Counselor in Wichita, Kansas
NPI 1013410083

Leatanya Koppa is a Professional Counselor based in Wichita, KS and is specialized in Professional. Leatanya Koppa practices in Wichita, KS and has the professional credentials of LPC. The NPI Number for Leatanya Koppa is 1013410083 and holds a License No. 03287 (Kansas).

The current practice location address for Leatanya Koppa is 6606 W Central Ave, Wichita, KS and can be reached out via phone at 316-221-2661 and via fax at 316-636-1190. You can also correspond with Leatanya Koppa through the mailing address at 6606 W CENTRAL AVE, WICHITA, KS - 67212-3315 (mailing address contact number: 316-221-2661).

Location: 6606 W Central Ave, Wichita, KS, 67212-3315
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Provider Profile Details
NPI Number
1013410083
Provider Name
Leatanya Koppa
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
6606 W Central Ave, Wichita, KS, 67212-3315
Phone Number
316-221-2661
Fax Number
316-636-1190
Provider Enumeration Date
03/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30004590570003 05 KS
institution
Provider Business Practice Location Address Details
Address
6606 W Central Ave
City
State
Zip
67212-3315
Phone Number
316-221-2661
Fax Number
316-636-1190
person
Provider Business Mailing Address Details
Address
6606 W Central Ave
City
State
Zip
67212-3315
Phone Number
316-221-2661
Fax Number
316-636-1190
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
03287 (Kansas)
Definition
Definition to come...
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