Individual
JEAN KINGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
100 WRIGHT BLVD, LATIGO HILLS MALL, WRIGHT, WY 82732-0083
(307) 680-1866
Mailing address
PO BOX 83, WRIGHT, WY 82732-0083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-859
WY
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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