Individual
JENNIFER SUSAN CRUICKSHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
135 W 9TH ST, CASPER, WY 82601-3722
(307) 215-1204
(307) 215-1204
Mailing address
135 W 9TH ST, CASPER, WY 82601-3722
(307) 215-1204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPC-934
WY
101YM0800X
Mental Health Counselor
Primary
LPC-1625
WY
Other
Enumeration date
02/22/2016
Last updated
03/23/2021
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