Individual
ELLEN VIRGINIA AXTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
507 S 4TH ST STE B, LARAMIE, WY 82070-3753
(307) 460-1780
Mailing address
500 S 11TH ST, LARAMIE, WY 82070-4012
(307) 742-3797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-865
WY
Other
Enumeration date
04/16/2008
Last updated
09/08/2020
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