Individual
MRS. SHAWNNA QUESADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1006 S JACKSON ST, HUGOTON, KS 67951-2858
(660) 123-4567
Mailing address
1006 S JACKSON ST, HUGOTON, KS 67951-2858
(660) 123-4567
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2339
KS
Other
Enumeration date
06/11/2012
Last updated
11/21/2018
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