Individual
ELIZABETH JOAN KORNKVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
411 S WALSH DR, CASPER, WY 82609-2306
(307) 336-3770
Mailing address
5311 S DAVID ST, CASPER, WY 82601-6339
(307) 333-3060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/31/2011
Last updated
11/20/2023
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