Individual
L'OREAL GOODEN BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
2420 N WOODLAWN BLVD STE H, WICHITA, KS 67220-3970
(316) 371-4579
(833) 802-3194
Mailing address
2100 N RIDGEWOOD DR, WICHITA, KS 67208-2515
(316) 371-4579
(844) 364-3047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
764
KS
106H00000X
Marriage & Family Therapist
1162
KS
106H00000X
Marriage & Family Therapist
Primary
2762
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200665800A
—
KS
Enumeration date
08/11/2010
Last updated
09/23/2024
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