Individual
PAIGE DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
172 N MAIN ST STE 1, SHERIDAN, WY 82801-3922
(307) 675-8840
Mailing address
172 N MAIN ST STE 1, SHERIDAN, WY 82801-3922
(307) 675-8840
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC-1937
WY
101YP2500X
Professional Counselor
LPC.0016540
CO
Other
Enumeration date
09/23/2016
Last updated
05/03/2021
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