Individual
MR. JUSTIN DEAN MCCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
89 RD 8 RA, POWELL, WY 82435
(307) 645-3384
(307) 645-3385
Mailing address
89 RD 8 RA, POWELL, WY 82435
(307) 645-3384
(307) 645-3385
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
957
WY
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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