Individual
MICHAEL BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMFT
Contact information
Practice address
11940 W CENTRAL AVE STE 118, WICHITA, KS 67212-5180
(316) 302-5462
Mailing address
11940 W CENTRAL AVE STE 118, WICHITA, KS 67212-5180
(316) 302-5462
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2845
KS
Other
Enumeration date
04/17/2014
Last updated
05/21/2024
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