Individual
MARISA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 E 47TH ST S, WICHITA, KS 67210-1651
(855) 261-2255
Mailing address
223 CEDAR RIDGE CT, ANDOVER, KS 67002-8861
(316) 305-5640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2710
KS
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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