NPI Profile for CAPITOL COUNSELING LLC in CHEYENNE, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI # | 1639593080 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/05/2014 | |
| Last updated | 01/20/2015 - About 11 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CAPITOL COUNSELING, LLC
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