Organization
REBECCA L JABARA LLC
Active
Organization
REBECCA L JABARA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L JABARA LCP (SOLE MEMBER)
(316) 641-0606
Entity
Organization
Contact information
Practice address
6122 SHADYBROOK ST, WICHITA, KS 67208-1862
(316) 641-0606
Mailing address
6122 SHADYBROOK ST, WICHITA, KS 67208-1862
(316) 641-0606
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LCP1479
KS
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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