Individual
MR. CHARLES WESLEY OSTRANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1920 THOMES AVE, SUITE 320, CHEYENNE, WY 82001-3542
(307) 635-0256
(307) 635-0967
Mailing address
PO BOX 1604, CHEYENNE, WY 82003-1604
(307) 635-0256
(307) 635-0967
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LPC-797
WY
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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