Individual
MS. CHALIZ DEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
3348 HALES RANCH RD, CHEYENNE, WY 82007-1823
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC2162
WY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/28/2017
Last updated
04/18/2023
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