Individual
VANESSA Y GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9415 E HARRY ST, WICHITA, KS 67207-5089
(316) 652-2590
Mailing address
3336 N FAIRVIEW AVE, WICHITA, KS 67204-4544
(620) 339-2544
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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