Individual
MS. LEA MICHELLE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
(307) 637-6852
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
(307) 637-6852
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
953
WY
Other
Enumeration date
10/16/2006
Last updated
06/22/2017
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