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

MRS. CASSIDY DIANE PROVO, PPC

Active Sole Proprietor

MRS. CASSIDY DIANE PROVO, PPC is a Professional Counselor healthcare provider located in CASPER, Wyoming. NPI 1942851019 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CASPER, WY

Registration Details

NPI Number
1942851019
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2019 (6.8800205006583 yrs)
Last Updated
Sep 20, 2019
License
1151 (WY)
Sole Proprietor
Yes

Practice Information

Address
2241 FARNUM ST STE 102
CASPER, WY, 826094108
Browse WY providers · Browse ZIP 82609
Phone
3072349979
Fax
3072349989
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in CASPER, WY

Name Credential NPI
MS. WHITNEY CAILIN WILSON LPC 1427013101
MR. STEVE ERIC WELCH LPC 1114031440
SUSAN L WRIEDT-BYRNE MS,LPC,NNC 1972604874
STACIE M DILTS-HARRYMAN LPC, NCC 1356411995
MRS. ANN MARIE ERNST LPC 1487728150
MRS. JOANNE E RISSER HICKS MS LPC NCC 1487728101
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.