Individual
MS. KATHLEEN A FARSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2301 HOUSE AVE, SUITE 405, CHEYENNE, WY 82001-3176
(307) 635-7561
(307) 778-5812
Mailing address
2301 HOUSE AVE, SUITE 405, CHEYENNE, WY 82001-3176
(307) 635-7561
(307) 778-5812
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-302
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23740
WINHEALTH
WY
01
—
313458
BCBS
WY
Enumeration date
01/09/2007
Last updated
07/08/2007
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