Organization
JST THERAPY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SMALL LMSW (VICE PRESIDENT)
(316) 258-1661
Entity
Organization
Contact information
Practice address
9513 E CHAMPIONS ST, WICHITA, KS 67226-3350
(316) 258-1661
Mailing address
9513 E CHAMPIONS ST, WICHITA, KS 67226-3350
(316) 258-1661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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