SHANNON PETRICEK

WICHITA, KS
NPI1841342383
Former NameSHANNON RENEE TALLENT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: KS  726)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
-- SHANNON PETRICEK LMFT
7701 E KELLOGG DR STE. 300
WICHITA, KS 67207-1706
Phone number: 316-660-9600
Mailing Address
-- SHANNON PETRICEK LMFT
635 N MAIN ST
WICHITA, KS 67203-3602
Phone number: 316-660-7600