Lara M Wisdom

NPI #1184250979 in Lenexa, Kansas

Provider Information

NPI Number
1184250979
Entity Type
Individual
Name
Lara M Wisdom
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Mar 12, 2020
Last Updated
Apr 9, 2024

Practice Location

Address
11900 W 87TH STREET PKWY STE 130
City
Lenexa
State
Kansas
ZIP Code
66215-4517
Phone
(615) 571-3982

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Counselor - Mental HealthMental Health

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