Individual
DESTINY DANIELLE FORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2501 E CENTRAL AVE STE 2, WICHITA, KS 67214-3344
(316) 648-4673
Mailing address
2501 E CENTRAL AVE STE 2, WICHITA, KS 67214-3344
(316) 648-4673
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
05175
KS
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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