Individual
MRS. BONNIE JANE BECKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPC-1479
Contact information
Practice address
PO BOX 472, WHEATLAND, WY 82201-0472
(307) 331-7869
Mailing address
PO BOX 472, WHEATLAND, WY 82201-0472
(307) 331-7869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1479
WY
Other
Enumeration date
02/07/2012
Last updated
07/31/2024
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