Individual
MR. WADE LEE KIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
220 MAIN ST STE 202, PLATTE CITY, MO 64079-8461
(816) 533-5033
Mailing address
220 MAIN ST STE 202, PLATTE CITY, MO 64079-8461
(816) 433-8581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2019047061
MO
Other
Enumeration date
07/28/2021
Last updated
02/18/2024
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