Individual
ZACHARY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
8450 NW PRAIRIE VIEW RD # 1234, KANSAS CITY, MO 64153-1841
(636) 751-5079
Mailing address
3100 NE 83RD ST STE 1001, KANSAS CITY, MO 64119-4460
(816) 468-0400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11068
OK
101Y00000X
Counselor
Primary
2020003286
MO
Other
Enumeration date
02/03/2020
Last updated
10/10/2022
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