Individual
MR. JAMES WARNER PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
(307) 637-6852
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
(307) 637-6852
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
593
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312401
BS
—
Enumeration date
08/04/2005
Last updated
04/15/2011
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