Individual
MR. MARK E WARDLOW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5536 HIGHWAY 32, FARMINGTON, MO 63640-7357
(573) 756-5749
Mailing address
PO BOX 844715, KANSAS CITY, MO 64184-4715
(417) 761-5214
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5866
MO
101YP2500X
Professional Counselor
Primary
2016014454
MO
Other
Enumeration date
11/19/2012
Last updated
04/14/2026
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