Individual
RAVEN STAR PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8623 E 32ND ST N, WICHITA, KS 67226-3317
(316) 201-6047
Mailing address
8910 E CREED ST, WICHITA, KS 67210-2415
(316) 749-7188
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT03729
KS
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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