Provider Demographics
NPI:1285085720
Name:BUFFINGTON, RITA (LCMFT)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:BUFFINGTON
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 1:920 N TYLER RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-3267
Mailing Address - Country:US
Mailing Address - Phone:316-992-8078
Mailing Address - Fax:
Practice Address - Street 1:920 N TYLER RD
Practice Address - Street 2:SUITE 300
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-3267
Practice Address - Country:US
Practice Address - Phone:316-992-8078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS861106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist