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Individual

CHERELLE D BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LCMFT, LMAC

Contact information

Practice address
11828 W CENTRAL, SUITE 104, WICHITA, KS 67212-5178
(316) 670-9895
(316) 928-4986
Mailing address
11828 W CENTRAL AVE, SUITE 104, WICHITA, KS 67212-5187
(316) 670-9895
(316) 928-4986

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LMAC176
KS
106H00000X
Marriage & Family Therapist
Primary
LCMFT885
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201085710A
KS
Enumeration date
05/15/2007
Last updated
10/25/2018
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