Provider Demographics
NPI:1053644211
Name:RAWLINGS, JESSICA M (LPC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:M
Last Name:RAWLINGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 517
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-0517
Mailing Address - Country:US
Mailing Address - Phone:316-942-4261
Mailing Address - Fax:316-943-9995
Practice Address - Street 1:15717 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1360
Practice Address - Country:US
Practice Address - Phone:913-621-2016
Practice Address - Fax:913-371-0509
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2068101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional