Individual
RICHARD G WITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Contact information
Practice address
5618 W 21ST ST N, WICHITA, KS 67205-1792
(316) 773-0555
Mailing address
1950 N CHERYL CT, WICHITA, KS 67212-5301
(316) 882-5421
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2486
KS
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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