Individual
MISS TARA M. LANCELOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
7926 W 21ST ST N, WICHITA, KS 67205-1742
(316) 272-5502
(316) 830-4169
Mailing address
6700 W CENTRAL AVE STE 106, WICHITA, KS 67212-6302
(316) 516-8891
(316) 945-5549
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
774
KS
Other
Enumeration date
01/06/2009
Last updated
06/27/2019
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