Individual
TERRY ROELFSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAT-088
Contact information
Practice address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Mailing address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PAT-088
WY
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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