Individual
PEGGY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 LOGAN AVE, CHEYENNE, WY 82001-5138
(307) 274-8086
Mailing address
2811 CENTRAL AVE, CHEYENNE, WY 82001-2701
(307) 274-8086
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PAT-090
WY
101YP2500X
Professional Counselor
Primary
LPC-2358
WY
Other
Enumeration date
10/04/2022
Last updated
04/24/2026
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