Individual
TINA CHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 STAMPEDE ST, NEWCASTLE, WY 82701-3037
(307) 746-3541
Mailing address
104 STAMPEDE ST, NEWCASTLE, WY 82701-3037
(307) 746-3541
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-810
WY
101YP2500X
Professional Counselor
LPC1076
SD
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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