Organization
DAVID STEPHENS
Active
Organization
DAVID STEPHENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI SKORDAS (THERAPIST)
(307) 324-5899
Entity
Organization
Contact information
Practice address
501 W BUFFALO ST BSMT, RAWLINS, WY 82301-5622
(307) 324-5899
Mailing address
PO BOX 911, RAWLINS, WY 82301-0911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-1245
WY
101Y00000X
Counselor
PPC-682
WA
103TC0700X
Clinical Psychologist
Primary
482
WY
1041C0700X
Clinical Social Worker
CSW-166
WY
1041C0700X
Clinical Social Worker
LCSW-761
WY
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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