Individual
JACQUELINE SIXBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
862 HERITAGE RD, LANDER, WY 82520-8930
(307) 277-1408
Mailing address
862 HERITAGE RD, LANDER, WY 82520-8930
(307) 277-1408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC2006
WY
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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