Individual
MR. DANNY J WILFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1601 E 28TH ST, TRENTON, MO 64683-1178
(660) 359-4487
(660) 359-4129
Mailing address
PO BOX 30, TRENTON, MO 64683-0030
(660) 359-4487
(660) 359-4129
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000485
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001133200
COMMUNITY HEALTH PLAN
—
01
—
27112018
BLUE CROSS BLUE SHIELD
—
05
—
493371702
—
MO
Enumeration date
11/06/2006
Last updated
12/14/2016
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