Individual
MATTHEW AIAH GROVENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1949 SUGARLAND DR, SHERIDAN, WY 82801-5755
(307) 429-2356
Mailing address
1949 SUGARLAND DR, SHERIDAN, WY 82801-5755
(307) 429-2356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-2146
WY
Other
Enumeration date
06/15/2021
Last updated
03/13/2023
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