Organization
AXIOM COUNSELING & THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D TODD NICKEL LCMFT (OWNER)
(316) 461-8149
Entity
Organization
Contact information
Practice address
7570 W 21ST ST N, BUILDING1042 SUITE B, WICHITA, KS 67205-1734
(316) 461-8149
Mailing address
11809 W SHERIAC ST, WICHITA, KS 67209-4087
(316) 461-8149
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
776
KS
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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