Individual
ANTHONY DEWAYNE DISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 E 6TH ST, PARKVILLE, MO 64152-3703
(816) 587-4100
(816) 587-6691
Mailing address
400 E 6TH ST, PARKVILLE, MO 64152-3703
(816) 587-4100
(816) 587-6691
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017017293
MO
Other
Enumeration date
09/14/2017
Last updated
07/21/2022
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