Individual
DANIEL A BORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LAT
Contact information
Practice address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4798
(307) 426-4799
Mailing address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4798
(307) 426-4799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC986, LAT333
WY
101YM0800X
Mental Health Counselor
Primary
LPC986
WY
101YP2500X
Professional Counselor
LPC-986
WY
Other
Enumeration date
05/01/2007
Last updated
09/09/2015
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