Individual
MR. CECIL H WAYMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1601 25TH AVE, GREELEY, CO 80634-4907
(970) 378-8805
Mailing address
1601 25TH AVE, GREELEY, CO 80634-4907
(970) 378-8805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CO
101YM0800X
Mental Health Counselor
Primary
—
CO
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/13/2014
Last updated
06/29/2021
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