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Organization
ROOTS RAICES MARRIAGE AND FAMILY THERAPY LLC
Active
Organization
ROOTS RAICES MARRIAGE AND FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITZI ITZEL GUERRERO PENA LMFT (OWNER)
(316) 670-4090
Entity
Organization
Contact information
Practice address
1144 N HAZELWOOD LN, WICHITA, KS 67212-2930
(316) 202-9041
Mailing address
1144 N HAZELWOOD LN, WICHITA, KS 67212-2930
(316) 202-9041
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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