Individual
MR. MARTIN L HARDSOCG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC, PC
Contact information
Practice address
200 W 17TH ST, SUITE 20, CHEYENNE, WY 82001-4434
(307) 637-5808
Mailing address
PO BOX 2417, CHEYENNE, WY 82003-2417
(307) 638-0300
(307) 638-0394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-166 LAT-142
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311832
BLUE CROSS BLUE SHIELD
WY
Enumeration date
04/26/2006
Last updated
07/08/2007
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