Individual
KASEY DOLLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
1421 E 2ND ST N, WICHITA, KS 67214-4119
(316) 416-6709
Mailing address
1421 E 2ND ST N, WICHITA, KS 67214-4119
(316) 416-6709
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2945
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201166280A
—
KS
Enumeration date
08/22/2017
Last updated
10/30/2021
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