Individual
MS. VIRGINIA KAY OEDEKOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
801 E 4TH ST, SUITE 14D, GILLETTE, WY 82716-4061
(307) 686-9422
(307) 685-4391
Mailing address
801 E 4TH ST, SUITE 14D, GILLETTE, WY 82716-4061
(307) 686-9422
(307) 685-4391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
540
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314216
BLUE CROSS BLUE SHIELD
WY
Enumeration date
09/01/2006
Last updated
07/08/2007
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