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NPI Code Detail

MEDICARE: NICOLE SLATER-CHILDS

MEDICARE:   NICOLE  SLATER-CHILDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC04937KS

General Provider Information

NPI Number : 1508670035
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE SLATER-CHILDS
Provider Business Mailing Address
First Line : 4730 N RIDGE PORT CT
Second Line :
City : WICHITA
State : KS
Zip : 67205-8848
Country : US
Telephone Number : 406-370-3729
Fax Number :
Provider Business Practice Location Address
First Line : 1410 S GLENDALE ST
Second Line :
City : WICHITA
State : KS
Zip : 67218-3212
Country : US
Telephone Number : 406-370-3729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2025
Last Update Date : 02/05/2025

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Directions to “ NICOLE SLATER-CHILDS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.