Individual
WENDY JAYNE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1722 S 19TH ST, LARAMIE, WY 82070-5414
(307) 417-0437
Mailing address
30 N GOULD ST STE N, SHERIDAN, WY 82801-6317
(307) 417-0437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
556
WY
101YP2500X
Professional Counselor
Primary
LPC - 1321
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
556
STATE LICENSE
WY
01
—
LPC - 1321
STATE LICENSE
WY
Enumeration date
09/01/2011
Last updated
07/29/2025
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