Individual
LESLEY RAE SELVIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-LMFT
Contact information
Practice address
1211 S EMPORIA AVE, WICHITA, KS 67211-3211
(316) 660-9494
Mailing address
1211 S EMPORIA AVE, WICHITA, KS 67211-3211
(316) 660-9494
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03762-T
KS
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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