Individual
MAELEE ANN HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-1917
Contact information
Practice address
2600 E 18TH ST, CHEYENNE, WY 82001-5511
(307) 633-7370
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC-1917
WY
Other
Enumeration date
01/03/2018
Last updated
07/29/2024
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