Individual
MR. RANDALL ALAN BASDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED, LPC
Contact information
Practice address
1904 WARREN AVE, CHEYENNE, WY 82001-3730
(307) 216-4227
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC- 858
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132748801
—
WY
Enumeration date
05/02/2007
Last updated
08/15/2024
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