person
Wyatt J Ezechiels, LPC
Professional Counselor in Independence, Missouri
NPI 1750892360

Wyatt J Ezechiels is a Professional Counselor based in Independence, MO and is specialized in Professional. Wyatt J Ezechiels practices in Independence, MO and has the professional credentials of LPC. The NPI Number for Wyatt J Ezechiels is 1750892360 and holds a License No. 2016007579 (Missouri).

The current practice location address for Wyatt J Ezechiels is 4731 S Cochise Dr Ste 206, Independence, MO and can be reached out via phone at 816-373-6433.

Location: 4731 S Cochise Dr Ste 206, Independence, MO, 64055-6975
person
Provider Profile Details
NPI Number
1750892360
Provider Name
Wyatt J Ezechiels
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
4731 S Cochise Dr Ste 206, Independence, MO, 64055-6975
Phone Number
816-373-6433
Fax Number
Provider Enumeration Date
10/23/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4731 S Cochise Dr Ste 206
City
State
Zip
64055-6975
Phone Number
816-373-6433
Fax Number
person
Provider Business Mailing Address Details
Address
4731 S Cochise Dr Ste 206
City
State
Zip
64055-6975
Phone Number
816-373-6433
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2016007579 (Missouri)
Definition
Definition to come...
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