Provider Demographics
NPI:1972782498
Name:DELMAR, ERIN VERANNE (LCMFT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:VERANNE
Last Name:DELMAR
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 1:7570 W 21ST ST N
Mailing Address - Street 2:BUILDING 1050 SUITE E
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-1734
Mailing Address - Country:US
Mailing Address - Phone:316-990-8380
Mailing Address - Fax:316-260-9342
Practice Address - Street 1:7570 W 21ST ST N
Practice Address - Street 2:BUILDING 1050 SUITE E
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1734
Practice Address - Country:US
Practice Address - Phone:316-990-8380
Practice Address - Fax:316-260-9342
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS820106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200527880BMedicaid