Individual
DUSTIN A. WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8080 WARD PKWY, SUITE 230, KANSAS CITY, MO 64114-2034
(816) 822-1922
(816) 822-2248
Mailing address
8080 WARD PKWY, SUITE 230, KANSAS CITY, MO 64114-2034
(816) 822-1922
(816) 822-2248
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011008104
MO
Other
Enumeration date
02/08/2012
Last updated
04/10/2013
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