Jkc Psych LLC

NPI #1619441680 in Wichita, Kansas

Provider Information

NPI Number: 1619441680
Entity Type: Organization
Organization Name: Jkc Psych LLC
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Jan 14, 2019
Last Updated: Apr 5, 2022

Practice Location

Address: 1445 N ROCK RD STE 130
City: Wichita
State: Kansas
ZIP Code: 67206-1287
Phone: (316) 847-9824

Authorized Official

Name: JANINE KESTERSON-CRAVENS, PH.D, BCBA-D
Title: PSYCHOLOGIST
Phone: (918) 527-5864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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