Organization
SPECIALTY COUNSELING
Active
Organization
SPECIALTY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA S COWPER MS/PPC (MENTAL HEALTH COUNSELING)
(307) 399-0575
Entity
Organization
Contact information
Practice address
4025 RAWLINS ST., CHEYENNE, WY 82001
(307) 424-7986
(307) 426-4799
Mailing address
4025 RAWLINS ST., CHEYENNE, WY 82001
(307) 424-7986
(307) 426-4799
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PPC-581
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2CF879B33D
—
WY
Enumeration date
06/07/2012
Last updated
06/07/2012
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