Individual
MARISSA RICHELLE FLENNIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 N WACO AVE STE 11, WICHITA, KS 67203-3971
(316) 721-8118
Mailing address
8080 E CENTRAL AVE, WICHITA, KS 67206-2368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
89412
CA
1041C0700X
Clinical Social Worker
Primary
06480
KS
1041C0700X
Clinical Social Worker
61386550
WA
Other
Enumeration date
07/06/2017
Last updated
02/18/2026
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