Individual
BRYAN H VRALSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6900 ALDEN DR BLDG 160, CHEYENNE, WY 82005-2945
(307) 773-3186
Mailing address
6900 ALDEN DR BLDG 160, FE WARREN AFB, WY 82005-2945
(307) 773-3186
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-1027
MT
Other
Enumeration date
04/02/2008
Last updated
10/04/2022
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