Organization
HIGH COUNTRY BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIPP L DANA LPC, LAT (EXECUTIVE DIRECTOR)
(307) 885-9883
Entity
Organization
Contact information
Practice address
190 OVERTHRUST RD, STE 105, EVANSTON, WY 82930-5205
(307) 789-4224
(307) 789-4225
Mailing address
PO BOX 2910, EVANSTON, WY 82931-2910
(307) 789-4224
(307) 789-4225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
WY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC-550
WY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
LAT-220
WY
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117847400
—
WY
Enumeration date
01/10/2011
Last updated
11/03/2025
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