Jessica Provines, TLMLP

NPI 1710083183 · on the registry since 2006

Practice

Address: 7570 W 21st St N
Wichita, KS 67205
Phone: (316) 729-6555
Fax: (316) 634-4794
Organisation at this address: Careatc
Relatable Llc
Angie Mcdaniel Llc
Christine Howey Llc
Hopeful Journey Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Registry record

Primary taxonomy: Clinical Psychologist
103TC0700X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas