JONATHAN D BLACKWELL

WICHITA, KS
NPI1942831862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: KS  03842)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: KS  3551)
Enumeration Date2020-01-29
Last Update Date2021-07-07
Business Address
JONATHAN D BLACKWELL T-LPC
635 N MAIN ST
WICHITA, KS 67203-3602
Phone number: 316-660-7525
Mailing Address
JONATHAN D BLACKWELL T-LPC
271 W 3RD ST N
WICHITA, KS 67202-1212
Phone number: 316-660-7600