Individual
WILLIAM NOLAN SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
10269 HWY. 789, RIVERTON, WY 82501
(307) 857-9456
(307) 460-5791
Mailing address
PO BOX 1989, RIVERTON, WY 82501-0240
(307) 857-9456
(307) 460-5791
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAT-225
WY
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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