Individual
MR. KEVIN N. WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMFT,LPC
Contact information
Practice address
501 S. BURMA AVENUE, GILLETTE, WY 82717-3011
(307) 688-5000
(307) 688-5015
Mailing address
3204 CRESTLINE CIRCLE, GILLETTE, WY 82716
(307) 688-5000
(307) 688-5015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC888
WY
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC 888
WY
Other
Enumeration date
12/18/2006
Last updated
06/29/2011
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