| Living Positively On Purpose Pc | |
|
601 Randall Ave Cheyenne WY 82001-2746 | |
| (307) 287-7847 | |
| Not Available |
| Full Name | Living Positively On Purpose Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 601 Randall Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | Deborah D Cockreham (REGISTERED AGENT) |
| Authorized Official Contact | 3072877847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Positively On Purpose Pc 507 E 18th St Cheyenne WY 82001-4617 Ph: (307) 287-7847 | Living Positively On Purpose Pc 601 Randall Ave Cheyenne WY 82001-2746 Ph: (307) 287-7847 |
| NPI Number | 1508180217 |
|---|---|
| Provider Enumeration Date | 03/24/2010 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508180217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC787 (Wyoming) | Primary |
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