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Individual

ELIZABETH HERL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMFT

Contact information

Practice address
250 N ROCK RD STE 150, WICHITA, KS 67206
(316) 258-4647
(316) 540-2119
Mailing address
250 N ROCK RD STE 150, WICHITA, KS 67206-2241
(316) 258-4647
(316) 540-2119

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2681
KS
106H00000X
Marriage & Family Therapist
2877
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
08/21/2015
Last updated
03/06/2019
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