Organization
WUBBENHORST & WUBBENHORST INC
Active
Other names
Madison Avenue Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MICHAEL WUBBENHORST SR. MS (PRESIDENT OF CORPORATION)
(876) 753-3333
Entity
Organization
Contact information
Practice address
3100 BROADWAY ST, STE 410, KANSAS CITY, MO 64111-2506
(816) 753-3333
(816) 753-7744
Mailing address
3100 BROADWAY ST, STE 410, KANSAS CITY, MO 64111-2506
(816) 753-3333
(816) 753-7744
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/31/2005
Last updated
09/01/2016
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