Individual
MISS LINDA M BLACKDEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAP, BSW
Contact information
Practice address
254 N CENTER ST STE 103, 3900 E 12TH ST # 416, CASPER, WY 82601-1926
(307) 235-2000
(307) 235-2015
Mailing address
254 N CENTER ST STE 103, 3900 E 12TH ST # 416, CASPER, WY 82601-1926
(307) 235-2000
(307) 235-2015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
063
WY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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