| Integrative Counseling Center Llc | |
|
4425 W Zoo Blvd Suite 3 Wichita KS 67212-1620 | |
| (316) 374-9200 | |
| (316) 749-2008 |
| Full Name | Integrative Counseling Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4425 W Zoo Blvd, Wichita, Kansas |
| Authorized Official Name and Position | Amy J Driskill (OWNER) |
| Authorized Official Contact | 3167492007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Counseling Center Llc 4425 W Zoo Blvd Suite 3 Wichita KS 67212-1620 Ph: (316) 374-9200 | Integrative Counseling Center Llc 4425 W Zoo Blvd Suite 3 Wichita KS 67212-1620 Ph: (316) 374-9200 |
| NPI Number | 1952730137 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 11/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952730137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 735 (Kansas) | Primary |
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