Individual
MS. SUE BLAYRE-WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, NCACII, DOT
Contact information
Practice address
1623 CENTRAL AVE, CHEYENNE, WY 82001
(307) 275-0423
(307) 432-4038
Mailing address
P.O. BOX 22049, CHEYENNE, WY 82003
(307) 275-0423
(307) 432-4038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAT-346
WY
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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