Individual
DANIEL JOSEPH JUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1912 CAPITOL AVE, STE 305, CHEYENNE, WY 82001-3650
(970) 214-0668
(307) 634-6943
Mailing address
PO BOX 272, SEVERANCE, CO 80546-0272
(970) 214-0668
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC866
WY
Other
Enumeration date
08/31/2005
Last updated
08/06/2014
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