Individual
MRS. TINA L. NIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(844) 895-7325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
744
WY
101YP2500X
Professional Counselor
Primary
LPC-744
WY
Other
Enumeration date
11/03/2006
Last updated
12/29/2020
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