# CHRISTIAN COUNSELING CENTER OF WICHITA, INC

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

## Provider details

- **NPI number:** 1689616062
- **Authorized official:** DR. MARK D. GLOVER LMFT (CLINICAL DIRECTOR)
- **Authorized official phone:** (316) 264-8800

## Contact information

- **Practice address:** 333 GREENWOOD ST, WICHITA, KS 67211-1844
- **Practice address phone:** (316) 264-8800
- **Practice address fax:** (316) 264-8809
- **Mailing address:** 333 GREENWOOD ST, WICHITA, KS 67211-1844
- **Mailing address phone:** (316) 264-8800
- **Mailing address fax:** (316) 264-8809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 642 | KS | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 643 | KS | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | 1957 | KS | — |
| 1041C0700X | Clinical Social Worker | 2271 | KS | — |
| 1041C0700X | Clinical Social Worker | 2526 | KS | — |
| 106H00000X | Marriage & Family Therapist | 219 | KS | — |
| 106H00000X | Marriage & Family Therapist | 622 | KS | — |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 09/11/2025