Individual
GARY WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 E 63RD ST FL 4, KANSAS CITY, MO 64110-3303
(816) 226-8619
Mailing address
601 E 63RD ST FL 4, KANSAS CITY, MO 64110-3303
(816) 226-8619
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022029926
MO
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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