Individual
SHEA JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
350 S BROADWAY ST, WICHITA, KS 67202-4304
(316) 660-9600
(316) 660-9669
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 941-5075
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2629
KS
101YP2500X
Professional Counselor
Primary
2684
KS
Other
Enumeration date
02/06/2015
Last updated
03/14/2019
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