Provider Demographics
NPI:1578712600
Name:KAMAU, STEPHEN (MA, LCAC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:KAMAU
Suffix:
Gender:M
Credentials:MA, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9918 E.HARRY
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207
Mailing Address - Country:US
Mailing Address - Phone:316-260-3445
Mailing Address - Fax:316-260-3367
Practice Address - Street 1:9918 E HARRY ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-5008
Practice Address - Country:US
Practice Address - Phone:316-260-3445
Practice Address - Fax:316-260-3367
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS618101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)