| Fully Connected Counseling Llc | |
|
101 S Webb Rd Wichita KS 67207-1301 | |
| (316) 807-2911 | |
| Not Available |
| Full Name | Fully Connected Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 101 S Webb Rd, Wichita, Kansas |
| Authorized Official Name and Position | Christopher Jones (OWNER) |
| Authorized Official Contact | 3168072911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fully Connected Counseling Llc 101 S Webb Rd Wichita KS 67207-1301 Ph: () - | Fully Connected Counseling Llc 101 S Webb Rd Wichita KS 67207-1301 Ph: (316) 807-2911 |
| NPI Number | 1427610286 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 09/17/2019 |
| Medicare PECOS PAC ID | 1951707132 |
|---|---|
| Medicare Enrollment ID | O20210914001366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427610286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Christopher W Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376082560 PECOS PAC ID: 7810395670 Enrollment ID: I20211007003047 |
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