| NPI | 1770718033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D SHIPLEY Co Owner/Counselor 307-674-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WY 403) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 424) |
| 101YP2500X Counselor, Professional (Licence: WY 552) | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2015-04-22 |