Individual
KELLIE BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2617 E LINCOLNWAY STE G, CHEYENNE, WY 82001-5671
(307) 514-1288
(307) 514-0979
Mailing address
2617 E LINCOLNWAY STE G, CHEYENNE, WY 82001-5671
(307) 514-1288
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC-1727
WY
Other
Enumeration date
04/13/2016
Last updated
10/09/2024
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