Individual
REBECCA LYNN JABARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP LMLP
Contact information
Practice address
6122 SHADYBROOK ST, WICHITA, KS 67208-1862
(316) 640-0606
Mailing address
6122 SHADYBROOK ST STE 1, WICHITA, KS 67208-1862
(316) 641-0606
(877) 381-0101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1033
KS
103TC0700X
Clinical Psychologist
Primary
1479
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033
KANSAS BEHAVIORAL SCIENCES REGULATORY BOARD
KS
Enumeration date
05/06/2015
Last updated
05/09/2018
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