Individual
MRS. MARY ANN WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
213 SAINT ROBERT BLVD STE 3-504, SAINT ROBERT, MO 65584-3323
(816) 425-2833
(816) 425-2098
Mailing address
213 SAINT ROBERT BLVD STE 3-504, SAINT ROBERT, MO 65584-3323
(816) 425-2833
(816) 425-2098
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2012036248
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710252333
—
MO
Enumeration date
03/14/2012
Last updated
03/27/2026
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