Organization
JANUARY SPRINGS LLC
Active
Organization
JANUARY SPRINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY CUNNINGHAM MS, LCPC (CEO)
(918) 906-1421
Entity
Organization
Contact information
Practice address
9342 E CENTRAL AVE STE F, WICHITA, KS 67206-2555
(918) 906-1421
Mailing address
9342 E CENTRAL AVE STE F, WICHITA, KS 67206-2555
(918) 906-1421
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
700
KS
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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