Individual
LEYLA DIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
331 ROBERT ST, CODY, WY 82414-9268
(307) 587-6288
Mailing address
PO BOX 2444, CODY, WY 82414-2444
(307) 587-6288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1102
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133438700
—
WY
Enumeration date
09/29/2008
Last updated
01/28/2014
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