Organization
CGCOUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA M GOSNELL LMSW (THERAPIST/OWNER)
(316) 712-0903
Entity
Organization
Contact information
Practice address
5535 S DODGE ST, WICHITA, KS 67217-6403
(316) 712-0903
Mailing address
5535 S DODGE ST, WICHITA, KS 67217-6403
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134882533
NPI ENUMERATOR
KS
Enumeration date
10/21/2021
Last updated
11/03/2021
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