person
Eileen Marie Gavagan, MA
Mental Health Counselor in Cheyenne, Wyoming
NPI 1164821476

Eileen Marie Gavagan is a Mental Health Counselor based in Cheyenne, WY and is specialized in Mental Health. Eileen Marie Gavagan practices in Cheyenne, WY and has the professional credentials of MA. The NPI Number for Eileen Marie Gavagan is 1164821476 and holds a License No. PPC-851 (Wyoming).

The current practice location address for Eileen Marie Gavagan is 623 W 20Th St, Cheyenne, WY and can be reached out via phone at 307-640-0301.

Location: 623 W 20Th St, Cheyenne, WY, 82003-1842
person
Provider Profile Details
NPI Number
1164821476
Provider Name
Eileen Marie Gavagan
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
623 W 20Th St, Cheyenne, WY, 82003-1842
Phone Number
307-640-0301
Fax Number
Provider Enumeration Date
08/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
623 W 20Th St
City
State
Zip
82001-3501
Phone Number
307-640-0301
Fax Number
person
Provider Business Mailing Address Details
Address
623 W 20Th St
City
State
Zip
82001-3501
Phone Number
307-640-0301
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LPC-1551 (Wyoming)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PPC-851 (Wyoming)
Definition
Definition to come...
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