Organization
PATRICIA RUTH NESBIT
Active
Other names
Patricia R. Nesbit
Organization subpart
No
Provider details
NPI number
Authorized official
DAN NESBIT OFFICE MANAGER (OWNER)
(307) 685-8182
Entity
Organization
Contact information
Practice address
601 S GILLETTE AVE, GILLETTE, WY 82716-4205
(307) 685-8182
Mailing address
601 S GILLETTE AVE, GILLETTE, WY 82716-4205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAT-321
WY
101YP2500X
Professional Counselor
LPC-1146
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295052140
NPI
WY
05
—
137750700
—
WY
Enumeration date
09/19/2017
Last updated
09/19/2017
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