Individual
MS. JACKIE CHERAY PULASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
560 N EXPOSITION ST, WICHITA, KS 67203-5902
(316) 264-8317
(316) 264-0347
Mailing address
4505 E 47TH ST S, WICHITA, KS 67210-1651
(316) 529-9100
(316) 529-9351
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCMFT760
KS
Other
Enumeration date
09/05/2008
Last updated
02/08/2012
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