Individual
DOROTHY R CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
350 CITY VIEW DR, #302, EVANSTON, WY 82930-5327
(307) 789-7915
(307) 789-6009
Mailing address
350 CITY VIEW DR, #302, EVANSTON, WY 82930-5327
(307) 789-7915
(307) 789-6009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC481
WY
101YM0800X
Mental Health Counselor
LPC-481
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106662500
—
WY
01
—
310047
BCBS OF WYOMING
WY
Enumeration date
04/10/2007
Last updated
05/04/2011
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