Most Relevant Information
Provider Data
| NPI Number: | 1003279555 |
| Provider Name: | DARLA WYATT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 2014012320 |
Most Important Dates
| Enumeration Date: | 04/01/2016 |
| Last Updated: | 04/01/2016 |
Provider Practice Location
3405 S. HAMMONS BLVD.
JOPLIN
MO
64804
Practice Location Phone/Fax
| Phone: | 4173194388 |
| Fax: |
Provider Mailing Location
3405 S. HAMMONS BLVD.
JOPLIN
MO
64804
Provider Mailing Phone/Fax
| Phone: | 4173194388 |
| Fax: |