Organization
WUBBENHORST & WUBBENHORST, INC
Active
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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