MEDICARE: JANET COLEEN NEWFELT LMFT, AAPS

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor		KS
2	106H00000X	Marriage & Family Therapist	787	KS

General Provider Information

NPI Number	:	1356522940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET COLEEN NEWFELT LMFT, AAPS

Provider Business Mailing Address
First Line	:	1024 MARYS DR
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67213-4425
Country	:	US
Telephone Number	:	316-264-3285
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 N CARRIAGE PKWY
Second Line	:	SUITE 135
City	:	WICHITA
State	:	KS
Zip	:	67208-4507
Country	:	US
Telephone Number	:	316-685-4700
Fax Number	:	316-685-8247

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2007
Last Update Date	:	11/25/2007

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