| NPI | 1730608910 |
|---|---|
| Doing Business As | PATRICIA R. NESBIT |
| Entity Type | Organization |
| Authorized Contact | DAN NESBIT Owner 307-685-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY LAT-321) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC-1146) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |