Individual
CHEYENNE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
345 N RIVERVIEW ST STE 730, WICHITA, KS 67203-4267
(316) 202-2110
Mailing address
2510 S CYPRESS ST, WICHITA, KS 67210-2463
(316) 833-2949
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC04762
KS
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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