Individual
MARY K RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC LAT
Contact information
Practice address
2310 E 8TH ST, CHEYENNE, WY 82001-5256
(307) 634-6433
(307) 635-7982
Mailing address
2310 E 8TH ST, CHEYENNE, WY 82001-5256
(307) 634-6433
(307) 635-7982
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
182
WY
Other
Enumeration date
11/09/2006
Last updated
04/15/2011
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