Provider Demographics
NPI:1316429418
Name:OZBUN, EMILY ANN (LCMFT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:OZBUN
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:OZBUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMFT
Mailing Address - Street 1:550 N 159TH ST E STE 304
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67230-7523
Mailing Address - Country:US
Mailing Address - Phone:316-247-1247
Mailing Address - Fax:
Practice Address - Street 1:550 N 159TH ST E STE 304
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67230-7523
Practice Address - Country:US
Practice Address - Phone:316-247-1247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3003106H00000X
KS03049106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist