Individual
ASHLEY L BROCKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1603 N CHAPEL HILL ST, WICHITA, KS 67206-5506
(316) 425-7774
Mailing address
1132 S WACO AVE, WICHITA, KS 67213-5338
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1046
KS
Other
Enumeration date
10/03/2009
Last updated
10/03/2009
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