| Pioneer Counseling Services | |
|
350 City View Drive Suite 206 Evanston WY 82930 | |
| (307) 789-7915 | |
| (307) 789-6009 |
| Full Name | Pioneer Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 350 City View Drive, Evanston, Wyoming |
| Authorized Official Name and Position | Dorothy R Conger (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3077897915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Counseling Services 350 City View Drive Suite 206 Evanston WY 82930 Ph: (307) 789-7915 | Pioneer Counseling Services 350 City View Drive Suite 206 Evanston WY 82930 Ph: (307) 789-7915 |
| NPI Number | 1093792095 |
|---|---|
| Provider Enumeration Date | 12/30/2005 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Medicare PECOS PAC ID | 8426030156 |
|---|---|
| Medicare Enrollment ID | O20040604000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093792095 | NPI | - | NPPES |
| Provider Name | Vickie L Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528287018 PECOS PAC ID: 0042307563 Enrollment ID: I20080919000030 |
| Provider Name | Denise Crosson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063497469 PECOS PAC ID: 3476579053 Enrollment ID: I20171128000469 |
| Provider Name | Dorothy R Conger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598988636 PECOS PAC ID: 1153619374 Enrollment ID: I20240110001536 |
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