Organization
BRIAN A FIDLER
Active
Parent organization
EPIC COUNSELING GROUP
Other names
Epic Counseling Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
EPIC COUNSELING GROUP
Authorized official
BRIAN FIDLER (PRESIDENT)
(816) 622-3171
Entity
Organization
Contact information
Practice address
4200 LITTLE BLUE PKWY, SUITE 360, INDEPENDENCE, MO 64057-8312
(816) 622-3171
Mailing address
4200 LITTLE BLUE PKWY, SUITE 360, INDEPENDENCE, MO 64057-8312
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MO
103TC0700X
Clinical Psychologist
—
MO
1041C0700X
Clinical Social Worker
—
MO
Other
Enumeration date
07/24/2013
Last updated
10/09/2013
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