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Individual

AVIS L GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LAT

Contact information

Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-1448
WY
101Y00000X
Counselor
Primary
LPC-796
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAT-332
WY
101YP2500X
Professional Counselor
LPC-796
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LAT-332
STATE LICENSE
WY
01
LPC-796
STATE LICENSE
WY
Enumeration date
03/14/2013
Last updated
07/21/2022
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