Individual
PHARASA PAULINA THANASITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT-T
Contact information
Practice address
350 S BROADWAY AVE APT 605, WICHITA, KS 67202-4304
(316) 660-9600
Mailing address
271 W 3RD ST N STE 600, WICHITA, KS 67202-1223
(316) 660-7600
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03321
KS
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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