Individual
MRS. CRYSTAL ANN EMIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PPC
Contact information
Practice address
2402 E RIDING CLUB RD, CHEYENNE, WY 82009-9708
(307) 256-4205
Mailing address
2402 E RIDING CLUB RD, CHEYENNE, WY 82009-9708
(307) 256-4205
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1044
WY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/19/2014
Last updated
05/02/2018
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