Individual
JILL S MACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCPC
Contact information
Practice address
556 S BELMONT ST, WICHITA, KS 67218-2202
(405) 590-2974
(888) 964-2524
Mailing address
556 S BELMONT ST, WICHITA, KS 67218-2202
(405) 590-2974
(888) 964-2524
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
03528
KS
101YP2500X
Professional Counselor
11278
OK
Other
Enumeration date
08/23/2019
Last updated
02/12/2024
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