Individual provider · Type 1 NPI

Andrew Wideman, PLPC

Professional Counselor · Liberty, MO

NPI number 1376423194 Active

Practice location

111 N Water St
Liberty, MO 64068-1736

Call (816) 301-4155 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2024011636 (MO)

Professional Counselor: Definition to come...

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About NPI 1376423194

Andrew Wideman, PLPC's National Provider Identifier is 1376423194, issued on Sep 3, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Liberty, MO. The record was last updated on Sep 3, 2025.