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Individual

KATHY ECKLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2521 E 15TH ST, CASPER, WY 82609-4126
(307) 237-7444
Mailing address
2521 E 15TH ST, CASPER, WY 82609-4126
(307) 237-7444

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1095
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC-1095
LICENSE
WY
Enumeration date
09/03/2009
Last updated
09/03/2009
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