Individual
THERESA BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5 LANE LN, SHERIDAN, WY 82801-8630
(307) 674-6878
Mailing address
1500 BUTLER SPAETH RD, GILLETTE, WY 82716-5132
(307) 696-9968
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC859
WY
Other
Enumeration date
03/18/2015
Last updated
11/18/2022
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