Individual
STACI SIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
300 E 17TH STREET, CHEYENNE, WY 82001-4608
(307) 631-9931
(307) 635-7706
Mailing address
300 E 17TH STREET, CHEYENNE, WY 82001-4608
(307) 631-9931
(307) 635-7706
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1228
WY
101YP2500X
Professional Counselor
LPC-2096
WY
Other
Enumeration date
01/26/2021
Last updated
03/07/2023
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