Individual
COBY JORDON CUSHENBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT-T
Contact information
Practice address
7570 W 21ST ST N STE 1046A, WICHITA, KS 67205-1771
(316) 749-8448
Mailing address
1523 N WOODLAND AVE, WICHITA, KS 67203-2737
(316) 670-6556
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03409-T
KS
106H00000X
Marriage & Family Therapist
—
KS
Other
Enumeration date
07/12/2022
Last updated
08/19/2022
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