Individual
MR. THOMAS F KROENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
830 E RICHARDS ST, DOUGLAS, WY 82633-2953
(307) 717-0002
Mailing address
830 E RICHARDS ST, DOUGLAS, WY 82633-2953
(307) 717-0002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-1626
WY
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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