Individual
TIFFANY KELDERHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
6525 E MAINSGATE RD, WICHITA, KS 67226-1062
(316) 530-2868
Mailing address
2908 N WOODRIDGE CT, WICHITA, KS 67226-6403
(316) 371-3252
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2365
KS
Other
Enumeration date
05/24/2010
Last updated
02/10/2023
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