Provider Demographics
NPI:1518289289
Name:BOKNECHT, MONICA ANN (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:ANN
Last Name:BOKNECHT
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2604 W 9TH ST N STE 205
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-4792
Mailing Address - Country:US
Mailing Address - Phone:316-390-4419
Mailing Address - Fax:
Practice Address - Street 1:2604 W 9TH ST N STE 205
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-4792
Practice Address - Country:US
Practice Address - Phone:316-390-4419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1119106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist