JEANINE LONG

WICHITA, KS
NPI1013138957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: KS  2237)
Enumeration Date2007-05-01
Last Update Date2022-07-11
Business Address
JEANINE LONG LCPC
4601 E DOUGLAS AVE STE 120
WICHITA, KS 67218-1032
Phone number: 316-535-9894
Mailing Address
JEANINE LONG LCPC
701 E 1ST ST N APT 206 SUITE A
WICHITA, KS 67202-4905
Phone number: 316-259-7018