Provider Demographics
NPI:1083947618
Name:LUJANO, DELIA JEAN (LPC)
Entity Type:Individual
Prefix:MS
First Name:DELIA
Middle Name:JEAN
Last Name:LUJANO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-2404
Mailing Address - Country:US
Mailing Address - Phone:316-212-4607
Mailing Address - Fax:
Practice Address - Street 1:1603 N CHAPEL HILL ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-5506
Practice Address - Country:US
Practice Address - Phone:316-425-7774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0651101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional