Organization
SPARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA SIGEL LPC (OWNER)
(307) 399-2880
Entity
Organization
Contact information
Practice address
903 S 9TH STREET, LARAMIE, WY 82070
(307) 399-2880
Mailing address
903 S 9TH STREET, LARAMIE, WY 82070
(307) 399-2880
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC-1074
WY
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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