Individual
NATHAN HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5755
(816) 404-5751
Mailing address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5755
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
2018013679
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490057435
—
MO
Enumeration date
04/23/2018
Last updated
12/23/2020
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