Individual
MRS. MARY CATHERINE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT, LCAC
Contact information
Practice address
555 N WOODLAWN ST STE 102, SUITE 102, WICHITA, KS 67208-3671
(316) 652-2590
(316) 652-2595
Mailing address
555 N WOODLAWN ST STE 102, SUITE 102, WICHITA, KS 67208-3671
(316) 652-2590
(316) 652-2595
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
566
KS
106H00000X
Marriage & Family Therapist
Primary
828
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200576810A
—
KS
Enumeration date
09/30/2008
Last updated
05/12/2015
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