Tyler Colby Breshears, LPC
Counselor, Professional in Kansas City, MO. Individual provider (NPI-1).
NPI number1437658366
StatusActive
Last updated in NPPESAug 23, 2019
Details
- NPI
- 1437658366
- Entity type
- Individual (NPI-1)
- Name
- Tyler Colby Breshears
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2018
- Last updated
- Aug 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2017038645 | MO | Yes |
Practice location
300 E 36th StKansas City, MO 64111-1410
Phone 816-508-1700 · Fax 816-508-1757
Mailing address
300 E 36th StKansas City, MO 64111-1410
Phone 816-508-1700 · Fax 816-508-1757
Other practice locations
400 E 6th St
Parkville, MO 64152-3703
Parkville, MO 64152-3703
Phone 816-587-4100 · Fax 816-587-6691
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