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Organization

WUBBENHORST & WUBBENHORST, INC

Active
Other names
Madison Avenue Psychological Services
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN M WUBBENHORST SR. (PRESIDENT)
(816) 753-3333
Entity
Organization

Contact information

Practice address
5040 BOB BILLINGS PKWY, LAWRENCE, KS 66049-3873
(913) 393-3333
(816) 505-1633
Mailing address
3100 BROADWAY ST, SUITE 1104, KANSAS CITY, MO 64111-2658
(816) 753-3333
(816) 753-7744

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TA0700X
Adult Development & Aging Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
Primary
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TP0814X
Psychoanalysis Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist

Other

Enumeration date
10/29/2012
Last updated
10/29/2012
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