Individual
CHARLES JOSEPH CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
730 MONTANA AVE, LOVELL, WY 82431-1810
(307) 272-8798
Mailing address
730 MONTANA AVE, LOVELL, WY 82431-1810
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1534
WY
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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