Individual
LARRY J GOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
(307) 745-8761
Mailing address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
(307) 745-8761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
446
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310
WINHEALTH PARTNERS
WY
01
—
312371
BS
WY
Enumeration date
12/21/2005
Last updated
03/16/2011
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