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NPI Code Detail

MEDICARE: IRAIS NAVARRETE

MEDICARE:   IRAIS  NAVARRETE
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 CounselorLPC05089KS

General Provider Information

NPI Number : 1366299273
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRAIS NAVARRETE
Provider Business Mailing Address
First Line : 4601 E DOUGLAS AVE
Second Line :
City : WICHITA
State : KS
Zip : 67218-1011
Country : US
Telephone Number : 316-393-6811
Fax Number :
Provider Business Practice Location Address
First Line : 4601 E DOUGLAS AVE
Second Line :
City : WICHITA
State : KS
Zip : 67218-1011
Country : US
Telephone Number : 316-393-6811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2024
Last Update Date : 07/03/2025

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Directions to “ IRAIS NAVARRETE ” 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.