person
Benjamin Clancy
Professional Counselor in Laramie, Wyoming
NPI 1215343934

Benjamin Clancy is a Professional Counselor based in Laramie, WY and is specialized in Professional. Benjamin Clancy practices in Laramie, WY. The NPI Number for Benjamin Clancy is 1215343934 and holds a License No. PPC-834 (Wyoming).

The current practice location address for Benjamin Clancy is 4989 North 3Rd Street, Laramie, WY and can be reached out via phone at 307-745-8997 and via fax at 307-742-6146.

Location: 4989 North 3Rd Street, Laramie, WY, 82072-9548
person
Provider Profile Details
NPI Number
1215343934
Provider Name
Benjamin Clancy
Credential
Provider Entity Type
Individual
Gender
Male
Address
4989 North 3Rd Street, Laramie, WY, 82072-9548
Phone Number
307-745-8997
Fax Number
307-742-6146
Provider Enumeration Date
07/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PPC-834 01 WY MENTAL HEALTH PROFESSIONS LICENSING BOARD
LPC-1564 01 WY STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
4989 North 3Rd Street
City
State
Zip
82072-9548
Phone Number
307-745-8997
Fax Number
307-742-6146
person
Provider Business Mailing Address Details
Address
4989 North 3Rd Street
City
State
Zip
82072-9548
Phone Number
307-745-8997
Fax Number
307-742-6146
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LPC-1564 (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
Professional
Taxonomy
License No.
PPC-834 (Wyoming)
Definition
Definition to come...
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