Individual
CARLY LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 OVERTHRUST RD, EVANSTON, WY 82930-9260
(307) 789-4224
(307) 789-4225
Mailing address
1575 STATE HIGHWAY 150 SOUTH, SUITE J, EVANSTON, WY 82930-5307
(307) 789-7915
(307) 789-6009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PAT-101
WY
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/30/2015
Last updated
04/15/2025
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