Organization
MARY ANN WYATT LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WYATT LPC (OWNER)
(816) 425-2833
Entity
Organization
Contact information
Practice address
1030 KINGSHIGHWAY ST STE A, ROLLA, MO 65401-2930
(816) 425-2833
(816) 425-2098
Mailing address
PO BOX 4374, WAYNESVILLE, MO 65583-4374
(816) 425-2833
(816) 425-2098
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/06/2024
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