Provider Demographics
NPI:1891908935
Name:ESTES, SUE (LCMFT)
Entity Type:Individual
Prefix:MS
First Name:SUE
Middle Name:
Last Name:ESTES
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 NIMS BLVD.
Mailing Address - Street 2:#416
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-3318
Mailing Address - Country:US
Mailing Address - Phone:316-263-6016
Mailing Address - Fax:
Practice Address - Street 1:550 NIMS BLVD.
Practice Address - Street 2:#416
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-3318
Practice Address - Country:US
Practice Address - Phone:316-263-6016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS104106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist