Individual
MRS. CRISTINETTE LIKIARDOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
T-LMFT
Contact information
Practice address
215 E MADISON AVE, DERBY, KS 67037-1711
(316) 530-2963
Mailing address
215 E MADISON AVE, DERBY, KS 67037-1711
(316) 530-2963
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2572
KS
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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