Individual
CODY L CLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6700 W CENTRAL AVE STE 106, WICHITA, KS 67212-6302
(316) 619-9129
Mailing address
6700 W CENTRAL AVE STE 106, WICHITA, KS 67212-6302
(316) 619-9129
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3069
KS
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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