Individual
MELINDA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2521 E 15TH ST, CASPER, WY 82609-4126
(307) 215-8780
Mailing address
PO BOX 50054, CASPER, WY 82605-0054
(307) 215-8780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1314
WY
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2012
Last updated
12/03/2023
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