Individual
SAMANTHA WIEDERRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
(307) 358-2846
Mailing address
2015 ADOBE AVE, DOUGLAS, WY 82633-3001
(307) 351-2918
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-2462
WY
Other
Enumeration date
05/26/2023
Last updated
10/13/2025
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