Individual
TODD KIRKBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
613 VISTA LN, CHEYENNE, WY 82009-3331
(307) 421-8625
Mailing address
613 VISTA LN, CHEYENNE, WY 82009-3331
(307) 421-8625
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC # 995
WY
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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