Individual
JANNY MARTINEZ CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 N WOODLAWN ST STE 3105, WICHITA, KS 67208-3673
(316) 685-1821
Mailing address
630 S TRIG ST, WICHITA, KS 67207-2512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
05101-T
KS
Other
Enumeration date
11/27/2025
Last updated
11/27/2025
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