Individual
SHANNON HILLIBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA, MA, PPC, NCCC
Contact information
Practice address
701 ANTLER DR, CASPER, WY 82601-1726
(307) 374-6463
Mailing address
6164 CORONADO DR, CASPER, WY 82609-4310
(307) 267-5255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1352
WY
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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