Individual
CHELSEA M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
236 N PENNSYLVANIA AVE, WICHITA, KS 67214-4149
(316) 734-5223
(316) 494-6348
Mailing address
236 N PENNSYLVANIA AVE, WICHITA, KS 67214-4149
(316) 734-5223
(316) 494-6348
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8768
KS
Other
Enumeration date
03/25/2013
Last updated
01/30/2024
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