Individual
PAUL CARLISLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
3031 FRONTAGE ROAD, SUITE 200, INDEPENDENCE, MO 64057
(816) 373-9240
Mailing address
3031 FRONTAGE RD., SUITE 200, INDEPENDENCE, MO 64057
(816) 373-9240
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008007213
MO
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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