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Individual

CARISSA LOUISE PAINTER-SAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS LPC

Contact information

Practice address
100 WARREN AVE, GILLETTE, WY 82716-3728
(307) 680-1045
(307) 682-2968
Mailing address
641 PAR DR, GILLETTE, WY 82718-7623

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2127
WY
101Y00000X
Counselor
PPC-1221
WY

Other

Enumeration date
12/12/2022
Last updated
08/25/2025
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