Individual
NICOLE PHENEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP-T
Contact information
Practice address
2544 N MAIZE CT STE 100, WICHITA, KS 67205-7358
(316) 201-6047
Mailing address
2544 N MAIZE CT STE 100, WICHITA, KS 67205-7358
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
07/31/2025
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