Individual
JENNIFER J. BRUENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
4505 E 47TH ST S, WICHITA, KS 67210-1651
(316) 734-6316
(316) 529-9351
Mailing address
900 W BROADWAY ST, NEWTON, KS 67114-2037
(316) 283-1950
(316) 283-9540
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCMFT 111
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
KS
Enumeration date
08/25/2007
Last updated
05/01/2009
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