Individual
CHRISTINA WANKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8080 E CENTRAL AVE STE 190, WICHITA, KS 67206-2389
(316) 260-3777
Mailing address
3033 N TEE TIME, WICHITA, KS 67205-1911
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03625-T
KS
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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