Individual
ANGEL WARRIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 E OSAGE RD STE 100, DERBY, KS 67037-2198
(316) 206-3111
Mailing address
4009 BROOKS AVE, WICHITA, KS 67220-2522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-05462
KS
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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