Individual
AUSTIN BOHANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4013 N RIDGE RD STE 110, WICHITA, KS 67205-8859
(316) 210-6294
Mailing address
4013 N RIDGE RD STE 110, WICHITA, KS 67205-8859
(316) 210-6294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
04142
KS
101YP2500X
Professional Counselor
Primary
04142
KS
Other
Enumeration date
10/19/2022
Last updated
09/26/2025
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