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Individual

KAREN ELLEN ROBERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, BC-TMH, LPC, NCC

Contact information

Practice address
1912 SPRING CREEK DR, LARAMIE, WY 82070-4747
(307) 760-5752
Mailing address
1912 SPRING CREEK DR, LARAMIE, WY 82070-4747
(307) 760-5752

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
388
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1134132509
NNPES
WY
01
388
STATE LICENSE
WY
Enumeration date
03/11/2020
Last updated
03/11/2020
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