Provider Demographics
NPI:1386066165
Name:UKENS, RACHEL L (LCMFT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:L
Last Name:UKENS
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 1:815 N WACO AVE STE 32
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-3928
Mailing Address - Country:US
Mailing Address - Phone:316-435-3538
Mailing Address - Fax:
Practice Address - Street 1:815 N WACO AVE STE 32
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-3928
Practice Address - Country:US
Practice Address - Phone:316-435-3538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2548106H00000X
KS2837106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist