person
Mr. Matthew A. Liberator, LPC
Professional Counselor in Raytown, Missouri
NPI 1215016654

Matthew A. Liberator is a Professional Counselor based in Raytown, MO and is specialized in Professional. Matthew A. Liberator practices in Raytown, MO and has the professional credentials of LPC. The NPI Number for Matthew A. Liberator is 1215016654 and holds a License No. 001215 (Missouri).

The current practice location address for Matthew A. Liberator is 9504 E 63Rd St, Raytown, MO and can be reached out via phone at 913-894-3550 and via fax at 816-356-0894.

Location: 9504 E 63Rd St, Raytown, MO, 64133-4948
person
Provider Profile Details
NPI Number
1215016654
Provider Name
Matthew A. Liberator
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
9504 E 63Rd St, Raytown, MO, 64133-4948
Phone Number
913-894-3550
Fax Number
816-356-0894
Provider Enumeration Date
11/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20641015 01 MO BLUE CROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
9504 E 63Rd St
City
State
Zip
64133-4948
Phone Number
913-894-3550
Fax Number
816-356-0894
person
Provider Business Mailing Address Details
Address
9504 E 63Rd St
City
State
Zip
64133-4948
Phone Number
913-894-3550
Fax Number
816-356-0894
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
001215 (Missouri)
Definition
Definition to come...
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