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Organization

HIGH COUNTRY BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON NIZER (CREDENTIALING SPECIALIST)
(307) 885-9888
Entity
Organization

Contact information

Practice address
721 W MAPLE ST, RAWLINS, WY 82301-5447
(307) 324-7156
(307) 328-1651
Mailing address
721 W MAPLE ST, RAWLINS, WY 82301-5447
(307) 324-7156
(307) 328-1651

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207QA0401X
Addiction Medicine (Family Medicine) Physician
251S00000X
Community/Behavioral Health Agency
Primary
WY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
291U00000X
Clinical Medical Laboratory

Other

Enumeration date
03/02/2007
Last updated
11/03/2025
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