Healthcare Provider Details

I. General information

NPI: 1588745079
Provider Name (Legal Business Name): ROBERT JOHN ZIRFAS LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4525 ZEBRA LN
SAINT JOSEPH MO
64506-2558
US

IV. Provider business mailing address

4525 ZEBRA LN
SAINT JOSEPH MO
64506-2558
US

V. Phone/Fax

Practice location:
  • Phone: 816-387-3786
  • Fax: 660-646-9741
Mailing address:
  • Phone: 816-387-3786
  • Fax: 660-646-9741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number002057
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: