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Individual

DR. MICHAEL DALE LOOS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1724 BOSWELL DR, LARAMIE, WY 82070-8101
(307) 721-4309
Mailing address
1724 BOSWELL DR, LARAMIE, WY 82070-8101
(307) 721-4309

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NCC 48217
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAT 245
WY
101YP2500X
Professional Counselor
LPC 672
WY

Other

Enumeration date
12/21/2005
Last updated
09/11/2025
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