Provider Demographics
NPI:1023241353
Name:LAMB, CATHLEEN CHERI (MA,AAPS)
Entity type:Individual
Prefix:MRS
First Name:CATHLEEN
Middle Name:CHERI
Last Name:LAMB
Suffix:
Gender:F
Credentials:MA,AAPS
Other - Prefix:MISS
Other - First Name:CATHLEEN
Other - Middle Name:CHERI
Other - Last Name:CRAFTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:856 S GREEN ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67211-2813
Mailing Address - Country:US
Mailing Address - Phone:316-993-2722
Mailing Address - Fax:316-612-9618
Practice Address - Street 1:856 S GREEN ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67211-2813
Practice Address - Country:US
Practice Address - Phone:316-993-2722
Practice Address - Fax:316-612-9618
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS06730834101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)