Individual
ANGELA C HECKROTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT, LAC
Contact information
Practice address
9415 E HARRY ST STE 204, WICHITA, KS 67207-5076
(316) 749-8550
Mailing address
1143 N GEUDA SPRINGS RD, MULVANE, KS 67110-8020
(316) 290-9896
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1342
KS
106H00000X
Marriage & Family Therapist
Primary
2730
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201083610A
—
KS
Enumeration date
08/16/2013
Last updated
07/16/2021
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