Individual
DEANNE LEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2161 COFFEEN AVE STE 402, SHERIDAN, WY 82801-5771
(307) 429-2044
Mailing address
2161 COFFEEN AVE STE 402, SHERIDAN, WY 82801-5771
(307) 429-2044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPC-1119
WY
101YP2500X
Professional Counselor
Primary
LPC-2016
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-2016
WY MENTAL HEALTH PROFESSIONALS LICENSING BOARD
WY
Enumeration date
06/10/2019
Last updated
09/13/2024
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