Living Positively On Purpose Pc | |
601 Randall Ave Cheyenne WY 82001-2746 | |
(307) 287-7847 | |
Not Available |
Full Name | Living Positively On Purpose Pc |
---|---|
Speciality | Counselor - Professional |
Location | 601 Randall Ave, Cheyenne, Wyoming |
Authorized Official Name and Position | Deborah D Cockreham (REGISTERED AGENT) |
Authorized Official Contact | 3072877847 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Living Positively On Purpose Pc 507 E 18th St Cheyenne WY 82001-4617 Ph: (307) 287-7847 | Living Positively On Purpose Pc 601 Randall Ave Cheyenne WY 82001-2746 Ph: (307) 287-7847 |
NPI Number | 1508180217 |
---|---|
Provider Enumeration Date | 03/24/2010 |
Last Update Date | 02/08/2024 |
Certification Date | 02/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508180217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC787 (Wyoming) | Primary |
News Archive
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