# MKC COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MKC Counseling, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518476589
- **Authorized official:** MARCIA CORDES LSCSW, LCP (OWNER/THERAPIST)
- **Authorized official phone:** (316) 371-7226

## Contact information

- **Practice address:** 654 N WOODCHUCK ST STE F, WICHITA, KS 67212-3571
- **Practice address phone:** (316) 371-7226
- **Practice address fax:** (888) 527-4437
- **Mailing address:** 1307 N COACH HOUSE CT, WICHITA, KS 67235-9706
- **Mailing address phone:** (316) 371-7226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 2792 | KS | Yes |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | 4695 | KS | — |

## Other

- **Enumeration date:** 09/21/2017
- **Last updated:** 10/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201134910A | — | KS |
