Doctor Name: | JESSICA M RAWLINGS |
NPI Number: | 1053644211 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2068 |
Business Practice Address: | 15717 College Blvd Lenexa, KS - 662191360 |
Business Phone Number: | 9136212016 |
Business Fax Number: | 9133710509 |
Mailing Address: | Po Box 517, WICHITA |
State: | KS |
Postal Code: | 672010517 |
Phone Number: | 3169424261 |
Fax Number: | 3169439995 |
NPI Enumeration Date: | 09/04/2009 |
NPI Last Update Date: | 09/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |