Individual
CATHRYN AHANONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCSW - 708
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCSW - 708
WY
1041C0700X
Clinical Social Worker
Primary
LCSW - 708
WY
Other
Enumeration date
10/06/2015
Last updated
08/26/2021
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