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Organization

CHRISTIAN COUNSELING CENTER OF WICHITA, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK D. GLOVER LMFT (CLINICAL DIRECTOR)
(316) 264-8800
Entity
Organization

Contact information

Practice address
333 GREENWOOD ST, WICHITA, KS 67211-1844
(316) 264-8800
(316) 264-8809
Mailing address
333 GREENWOOD ST, WICHITA, KS 67211-1844
(316) 264-8800
(316) 264-8809

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
642
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
643
KS
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
1957
KS
1041C0700X
Clinical Social Worker
2271
KS
1041C0700X
Clinical Social Worker
2526
KS
106H00000X
Marriage & Family Therapist
219
KS
106H00000X
Marriage & Family Therapist
622
KS

Other

Enumeration date
06/12/2006
Last updated
09/11/2025
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