Individual
ALLISON SMITH BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
Mailing address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PPC-1518
WY
Other
Enumeration date
02/07/2025
Last updated
03/31/2025
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