Individual
LESLIE URBANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 W 20TH ST, CHEYENNE, WY 82001-3501
(307) 222-2013
(307) 316-8792
Mailing address
PO BOX 1842, CHEYENNE, WY 82003-1842
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPC-1171
WY
101Y00000X
Counselor
—
WY
101YP2500X
Professional Counselor
Primary
LPC-2189
WY
Other
Enumeration date
01/14/2020
Last updated
12/07/2023
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