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Individual

MARK ANDREW REISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S. / LPC

Contact information

Practice address
1465 N 4TH ST, SUITE 119, LARAMIE, WY 82072-2066
(307) 721-0700
Mailing address
1421 DOWNEY ST, LARAMIE, WY 82072-1867
(307) 399-3387

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1081
WY

Other

Enumeration date
02/02/2010
Last updated
02/02/2010
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