Individual
MS. ANDREA GIBBS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5950 N OAK TRFY STE 104, GLADSTONE, MO 64118-5164
(816) 769-6129
(816) 424-6782
Mailing address
13300 SE US HIGHWAY 169, GOWER, MO 64454-8364
(816) 769-6129
(816) 424-6782
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001026801
MO
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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