NPI 1013410083

Leatanya Koppa, LPC

Practitioner Professional Counselor Wichita, KS

Practice location

Address: 6606 W Central Ave, Wichita, KS 67212-3315
Phone: (316) 221-2661
Fax: (316) 636-1190

Registered specialties (2)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 3178 (KS)

Other Counselor providers in Kansas →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 03287 (KS)

Registry record

NPI: 1013410083
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Mar 2018
Record last updated: 2 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.