Individual
JEREMIAH COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8080 E CENTRAL AVE STE 190, WICHITA, KS 67206-2389
(316) 260-3777
Mailing address
300 NORTH ST, TOWANDA, KS 67144-8846
(316) 641-0173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
05260
KS
Other
Enumeration date
10/07/2021
Last updated
01/01/2026
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