Individual
MS. KIM M. PEEPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
510 W. 29TH STREET, CHEYENNE, WY 82001
(307) 632-9362
Mailing address
510 W. 29TH STREET, CHEYENNE, WY 82001
(307) 632-9362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
20168
TX
101YP2500X
Professional Counselor
Primary
LPC-1816
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14033471
CAQH PROVIDER ID
—
Enumeration date
05/20/2010
Last updated
08/27/2020
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