Individual
BRANDI KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5 LANE LN, SHERIDAN, WY 82801
(307) 674-6878
Mailing address
5 LANE LN, SHERIDAN, WY 82801-8630
(307) 674-6878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC865
WY
Other
Enumeration date
03/19/2015
Last updated
09/04/2018
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