Individual
VIVIAN WHETHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CRC
Contact information
Practice address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
Mailing address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-1517
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538462783
—
WY
Enumeration date
08/17/2018
Last updated
08/17/2018
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