Individual
JILLIAN CASTANEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9415 E HARRY ST, WICHITA, KS 67207-5089
(316) 652-2590
Mailing address
9415 E HARRY ST, WICHITA, KS 67207-5089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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