Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gerald L Vaillancourt Jr., LAC1596

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1982562831

Mr. Gerald L Vaillancourt Jr., LAC1596 is an Addiction (Substance Use Disorder) Counselor in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2026.

Licensed in
KS
In the registry since
2026

Practice location Address checks out

200 W Douglas Ave Ste 360
Wichita, KS 67202-3019
Phone: (316) 833-2739
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1596 (KS)

Record details

NPI number1982562831
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC1596
Sole proprietorNo
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 11, 2026

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