MATTHEW DAVID BERTAGNOLE

CASPER, WY
NPI1902154081
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WY  LPC-1329)
Enumeration Date2012-08-21
Last Update Date2013-03-19
Business Address
Mr. MATTHEW DAVID BERTAGNOLE LPC
2417 E 15TH ST
CASPER, WY 82609-2942
Phone number: 307-247-1168
Mailing Address
Mr. MATTHEW DAVID BERTAGNOLE LPC
4921 RIMROCK DR
BAR NUNN, WY 82601-7703
Phone number: 307-247-1168