Provider Demographics
NPI:1326527987
Name:ARMBRUSTER, WENDI NICHOL (LAC)
Entity Type:Individual
Prefix:MRS
First Name:WENDI
Middle Name:NICHOL
Last Name:ARMBRUSTER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-0100
Mailing Address - Country:US
Mailing Address - Phone:785-269-1033
Mailing Address - Fax:785-462-6385
Practice Address - Street 1:990 S RANGE AVE
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701-3509
Practice Address - Country:US
Practice Address - Phone:785-269-1033
Practice Address - Fax:785-462-6385
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS496101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)