Individual
CONCHANTA GUINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 N WACO AVE, WICHITA, KS 67203-3939
(316) 201-6047
Mailing address
4663 WELTON ST, GREENWOOD, IN 46143-8974
(217) 766-6064
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TF0000X
Family Psychologist
—
—
103TS0200X
School Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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