Individual
MIA KELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT-T
Contact information
Practice address
731 N MCLEAN BLVD, WICHITA, KS 67203-4986
(316) 461-0339
Mailing address
731 N MCLEAN BLVD, WICHITA, KS 67203-4986
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03640-T
KS
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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