TINA DALL STATES

POWELL, WY
NPI1952315046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WY  LPC 926)
Enumeration Date2006-07-27
Last Update Date2021-07-21
Business Address
TINA DALL STATES LPC
450 MOUNTAIN VIEW BUILDING C
POWELL, WY 82435-1958
Phone number: 307-254-0661
Mailing Address
TINA DALL STATES LPC
652 CEDARWOOD DR
POWELL, WY 82435-1743
Phone number: 307-254-0661
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