Individual
KEVIN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1949 SUGARLAND DR STE 180, SHERIDAN, WY 82801-5720
(307) 461-9619
Mailing address
101 E LOUCKS ST UNIT 3014, SHERIDAN, WY 82801-6428
(307) 461-9619
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-112
WY
Other
Enumeration date
06/24/2007
Last updated
06/28/2022
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