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Individual

GINA M REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PPC

Contact information

Practice address
15 SHRINE CLUB RD, LANDER, WY 82520-8501
(307) 335-3226
Mailing address
625 E MADISON AVE STE 1, RIVERTON, WY 82501-4712

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1557
WY
101Y00000X
Counselor
Primary
CAP-209
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP-209
WY
390200000X
Student in an Organized Health Care Education/Training Program
WY

Other

Enumeration date
07/17/2018
Last updated
07/03/2025
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