Organization
CHOICE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A DIETERS MS, LPC (VICE PRESIDENT)
(307) 220-3901
Entity
Organization
Contact information
Practice address
1208 E PERSHING BLVD, CHEYENNE, WY 82001-3230
(307) 220-3902
Mailing address
5210 WINDMILL RD, CHEYENNE, WY 82009-5265
(307) 220-2901
(866) 397-4865
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 893
WY
Other
Enumeration date
03/30/2007
Last updated
10/01/2012
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