Individual
JESSICA HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT, LCAC
Contact information
Practice address
501 S TURQUOISE ST, WICHITA, KS 67209
(316) 390-4575
Mailing address
7117 W HARRY ST UNIT 12331, WICHITA, KS 67277-7650
(316) 390-4575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
75
KS
106H00000X
Marriage & Family Therapist
Primary
2836
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
546720
—
KS
Enumeration date
10/02/2007
Last updated
10/10/2019
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