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NPI Code Detail

MEDICARE: CHRISTOPHER CHAD WICHMANN LAC,CRADC,CRPR,CS

MEDICARE: CHRISTOPHER CHAD WICHMANN LAC,CRADC,CRPR,CS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1869MO
2101YA0400XAddiction (Substance Use Disorder) Counselor13865MO
3175T00000XPeer Specialist18711MO
4101YA0400XAddiction (Substance Use Disorder) Counselor01994KS

General Provider Information

NPI Number : 1184327256
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER CHAD WICHMANN LAC,CRADC,CRPR,CS
Provider Business Mailing Address
First Line : 1500 N GRANT ST STE R
Second Line :
City : DENVER
State : CO
Zip : 80203-1859
Country : US
Telephone Number : 913-208-3276
Fax Number :
Provider Business Practice Location Address
First Line : 1058 WASHINGTON BLVD
Second Line : STE 2E
City : KANSAS CITY
State : KS
Zip : 66102-2981
Country : US
Telephone Number : 913-208-3276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 05/30/2026

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