Individual
KELSEY JOY SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC, CSOTP
Contact information
Practice address
24401 W MACARTHUR RD, GODDARD, KS 67052-8713
(316) 794-2760
(316) 794-2773
Mailing address
1576 S GOEBEL CIR, WICHITA, KS 67207-4008
(779) 777-3976
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180011268
IL
101YP2500X
Professional Counselor
Primary
2655
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811327950
—
KS
Enumeration date
06/24/2016
Last updated
01/11/2019
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