Individual
MR. TERRY L STANCLIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
501 ALBANY AVE, TORRINGTON, WY 82240-1503
(307) 532-4091
(307) 532-8409
Mailing address
501 ALBANY AVE, TORRINGTON, WY 82240-1503
(307) 532-4091
(307) 532-8409
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-983
WY
101YP2500X
Professional Counselor
983
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QM0801X
—
WY
05
—
261QR0405X
—
WY
01
—
315451
BLUE CROSS BLUE SHIELD OF WY
WY
Enumeration date
09/16/2008
Last updated
05/01/2017
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