Individual
CECILIA R SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
T-LMFT
Contact information
Practice address
119 JONES ST, EL DORADO, KS 67042-1469
(620) 794-8264
Mailing address
3909 W 31ST ST S APT 609, WICHITA, KS 67217-1169
(918) 914-2740
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3146
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3146
—
KS
Enumeration date
03/06/2020
Last updated
03/06/2020
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