Individual
MR. CHARLES DAVID SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., L.P.C.
Contact information
Practice address
2909 BENT AVE, CHEYENNE, WY 82001-2742
(307) 640-2182
(307) 638-2959
Mailing address
1834 E 21ST ST, CHEYENNE, WY 82001-4162
(307) 640-2182
(307) 638-2959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
752
WY
101YP2500X
Professional Counselor
Primary
LPC-752
WY
Other
Enumeration date
01/09/2009
Last updated
08/01/2019
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