Individual
MRS. STACEY POLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NBCC
Contact information
Practice address
2754 SINKS CANYON RD, LANDER, WY 82520-9714
(307) 349-6012
Mailing address
2754 SINKS CANYON RD, LANDER, WY 82520-9714
(307) 349-6012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-1967
WY
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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