# KASEY DOLLOFF LCMFT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265196778
- **Authorized official:** KASEY DOLLOFF LCMFT (OWNER)
- **Authorized official phone:** (316) 416-6709

## Contact information

- **Practice address:** 1421 E 2ND ST N, WICHITA, KS 67214-4119
- **Practice address phone:** (316) 416-6709
- **Mailing address:** 1421 E 2ND ST N, WICHITA, KS 67214-4119
- **Mailing address phone:** (316) 416-6709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/30/2021
- **Last updated:** 10/30/2021