| Mary Ann Wyatt Lpc Llc | |
|
1030 Kingshighway St Ste A Rolla MO 65401-2930 | |
| (816) 425-2833 | |
| (816) 425-2098 |
| Full Name | Mary Ann Wyatt Lpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1030 Kingshighway St Ste A, Rolla, Missouri |
| Authorized Official Name and Position | Mary Wyatt (OWNER) |
| Authorized Official Contact | 8164252833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Wyatt Lpc Llc Po Box 4374 Waynesville MO 65583-4374 Ph: (816) 425-2833 | Mary Ann Wyatt Lpc Llc 1030 Kingshighway St Ste A Rolla MO 65401-2930 Ph: (816) 425-2833 |
| NPI Number | 1881287464 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881287464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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