Individual
COURTNEY CAMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCSP,
Contact information
Practice address
615 HAMILTON ST, DOUGLAS, WY 82633-2615
(307) 358-6187
Mailing address
615 HAMILTON ST, DOUGLAS, WY 82633-2615
(307) 358-6187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-1121
WY
103TS0200X
School Psychologist
Primary
25942
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25942
PROFESSIONAL TEACHING STANDARDS BOARD
WY
01
—
LPC-1121
MENTAL HEALTH PROFESSIONS LICENSING BOARD
WY
Enumeration date
05/17/2022
Last updated
09/27/2022
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