IndividualActive
Andrew Wideman, PLPC
NPI 1376423194 · Professional Counselor · Liberty, MO
Provider details
- NPI number
- 1376423194
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- PLPC
- Sex
- Male
- Sole proprietor
- No
- License
- 2024011636 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
111 N Water St
Liberty, MO 64068-1736
Phone: (816) 301-4155
Approximate (ZIP-level) locationGet directions
Mailing address
111 N Water St
Liberty, MO 64068-1736
Registry dates
- Enumerated
- 2025-09-03
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.