Individual
ANITA RAYLENE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1825 W MAPLE ST, WICHITA, KS 67213-3957
(316) 440-8928
Mailing address
1414 SE 120TH ST, LEON, KS 67074-9067
(316) 519-1480
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1028
KS
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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