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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BEVERLY FACKRELL, LPC

Active Sole Proprietor

Professional Counselor · EVANSTON, WY

Registration Details

NPI Number
1700177300
Provider Type
Individual
Gender
Female
NPI Issued
Apr 29, 2011 (14.979573235968 yrs)
Last Updated
Oct 20, 2015
License
LPC 1289 (WY)
Sole Proprietor
Yes

Practice Information

Address
177 WOODRIDGE LN
EVANSTON, WY, 829304615
Browse WY providers · Browse ZIP 82930
Phone
3076798765
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in EVANSTON, WY

Name Credential NPI
MS. YURI EDNA FREEMAN MA 1588662696
MR. ROGER NELSON SCARBOROUGH MS 1669564712
RONALD JANEIRO DOLAN PMFT 1063794816
ANNETTE CHRISTENSEN 1235493420
JARED BINGHAM LCPC 1053751347
MS. MICHELLE A ROBERTSON M.A. 1780090407
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.