| Wesley S Smothermon | |
|
2801 W 15th St N Wichita KS 67203-1833 | |
| (316) 648-9580 | |
| Not Available |
| Full Name | Wesley S Smothermon |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2801 W 15th St N, Wichita, Kansas |
| Authorized Official Name and Position | Wesley S Smothermon (TLMFT, CPT) |
| Authorized Official Contact | 3166489580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wesley S Smothermon 2801 W 15th St N Wichita KS 67203-1833 Ph: (316) 648-9580 | Wesley S Smothermon 2801 W 15th St N Wichita KS 67203-1833 Ph: (316) 648-9580 |
| NPI Number | 1417497231 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 02/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417497231 | NPI | - | NPPES |
| 201142440A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | KO1-14-3203 (Kansas) | Primary |
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