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Individual

MR. ADAM ELIAS STUART-WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
1816 E 17TH ST, CHEYENNE, WY 82001-5010
(307) 426-4204
Mailing address
1816 E 17TH ST, CHEYENNE, WY 82001-5010
(307) 426-4204

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1744
WY
101YP2500X
Professional Counselor
PPC
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142603600
WY
Enumeration date
08/17/2015
Last updated
12/11/2023
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