Individual
JENNIFER K MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LAC
Contact information
Practice address
714 S HILLSIDE ST, WICHITA, KS 67211-3002
(316) 295-4800
(316) 295-4811
Mailing address
714 S HILLSIDE, WICHITA, KS 67211-3602
(316) 295-4800
(316) 295-4811
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
665
KS
104100000X
Social Worker
Primary
10534
KS
Other
Enumeration date
05/07/2013
Last updated
07/21/2022
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