Individual
REBECCA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 S 3RD ST, BASIN, WY 82410
(307) 568-2020
Mailing address
PO BOX 351, GREYBULL, WY 82426-0351
(307) 568-2020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PAT-094
WY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/10/2022
Last updated
12/06/2023
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