Individual
MR. ALFREDO CARLOS SANTISTEVAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,LPC,NCC,AADC,LAC
Contact information
Practice address
1430 WILKINS CIRCLE, CENTRAL WYOMING COUNSELING CENTER MEN'S RESIDENTIAL TRE, CASPER, WY 82601
(307) 237-9583
(307) 265-7277
Mailing address
1430 WILKINS CIRCLE, CASPER, WY 82601
(307) 237-9583
(307) 265-7277
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 826
WY
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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