Individual
NIKOLAS WISHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
4721 S CLIFF AVE STE 200, INDEPENDENCE, MO 64055-6969
(816) 476-1725
Mailing address
4721 S CLIFF AVE STE 200, INDEPENDENCE, MO 64055-6969
(816) 424-4404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MO
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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