Tara M. Lancelot LCMFT

NPI 1013153410 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1013153410
Gender Female
Enumeration Date 01/06/2009
Last Updated 11/13/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
217 W IRA CT
ANDOVER KS, 67002-9469, US
Phone (316) 733-5047
Business Location
WICHITA KS, 67218-1245, US
Phone (316) 516-8891
Taxonomy Code 106H00000X
License State Kansas
License Number 774
Remove 1013153410 NPI Number

According to our database, Miss Tara M. Lancelot LCMFT NPI is 1013153410, taxonomy code is 106H00000X and license number is 774, license state is located at Kansas. Tara M. Lancelot LCMFT physically located at 217 W Ira Ct, Andover KS, 67002-9469. NPI Number Tara M. Lancelot LCMFT has the Individual type.

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1013153410 NPI number is provided on an as is basis without warranty of any kind. 1013153410 is maintained by the National Plan & Provider Enumeration System. The contents of Tara M. Lancelot LCMFT are for informational purposes only.