Individual
ABIGAIL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 E 19TH ST STE 3, CHEYENNE, WY 82001-4946
(307) 214-0229
Mailing address
1616 E 19TH ST STE 3, CHEYENNE, WY 82001-4946
(307) 214-0229
(541) 741-8084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
WY
Other
Enumeration date
05/10/2016
Last updated
01/19/2024
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