Individual
JESSICA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 N WOODLAWN ST STE 3105, WICHITA, KS 67208-3673
(407) 432-2588
Mailing address
3607 E 17TH ST N APT 1205, WICHITA, KS 67208-2103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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