Individual
MR. GLENN L HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
1575 N 4TH ST STE 103, LARAMIE, WY 82072-2091
(307) 721-0700
(307) 721-1039
Mailing address
1575 N 4TH ST STE 103, LARAMIE, WY 82072-2091
(307) 721-0700
(307) 721-1039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC804
WY
101YP2500X
Professional Counselor
Primary
LPC-804
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312848
BLUE CROSS BLUE SHEILD
WY
Enumeration date
09/26/2006
Last updated
09/06/2016
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