Individual
MS. JANET LYNN UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
2020 E GRAND AVE STE 410, LARAMIE, WY 82070-4380
(208) 490-0635
Mailing address
2020 E GRAND AVE STE 410, LARAMIE, WY 82070-4380
(208) 490-0635
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
691
WY
101YP2500X
Professional Counselor
Primary
LPC-691
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2CF879B33D
—
WY
Enumeration date
10/01/2005
Last updated
05/31/2019
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