Individual
TRISHA G BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1725 OXFORD DR, APT. 1, CHEYENNE, WY 82001-1690
(307) 640-2762
Mailing address
1725 OXFORD DR, APT. 1, CHEYENNE, WY 82001-1690
(307) 640-2762
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-884
WY
Other
Enumeration date
07/18/2005
Last updated
01/06/2010
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