Individual
REBECCA ERTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LSC, LPC, PPC
Contact information
Practice address
507 S HUBER DR, CASPER, WY 82609-2604
(303) 949-9690
Mailing address
507 S HUBER DR, CASPER, WY 82609-2604
(303) 949-9690
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0019144
CO
101YP2500X
Professional Counselor
Primary
1297
WY
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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