| NPI | 1740525930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DEAN SHIPLEY Owner/Mgr/Licensedprofessionalcouns 307-674-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY 1316) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-12-06 |