Provider Demographics
NPI:1497491476
Name:DRISKILL, DAKOTA LEE (LPC)
Entity Type:Individual
Prefix:
First Name:DAKOTA
Middle Name:LEE
Last Name:DRISKILL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10802 W HASKELL CIR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-3240
Mailing Address - Country:US
Mailing Address - Phone:316-789-5531
Mailing Address - Fax:
Practice Address - Street 1:1009 S BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67211-2232
Practice Address - Country:US
Practice Address - Phone:316-260-1717
Practice Address - Fax:316-260-8993
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional