Individual
MICHAEL E EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSCMHC
Contact information
Practice address
115 N 7TH ST STE 6, SPEARFISH, SD 57783-2710
(605) 645-0100
Mailing address
PO BOX 826, SUNDANCE, WY 82729-0826
(307) 290-0991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20952
SD
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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