Individual
DEREK WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
450 N 159TH ST E, WICHITA, KS 67230-7704
(316) 200-4983
Mailing address
450 N 159TH ST E, WICHITA, KS 67230-7704
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3162
KS
Other
Enumeration date
09/03/2020
Last updated
10/13/2020
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