WANEKO CHANTELE BIVENS

ANDOVER, KS
NPI1629797303
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  TH732068)
Enumeration Date2022-08-25
Last Update Date2022-08-25
Business Address
Dr. WANEKO CHANTELE BIVENS MM, PhD
1524 W ELM ST
ANDOVER, KS 67002-9027
Phone number: 302-480-0573
Mailing Address
Dr. WANEKO CHANTELE BIVENS MM, PhD
1524 W ELM ST
ANDOVER, KS 67002-9027
Phone number: 302-480-0573