person
Myron Littlebird, LAC
Addiction (Substance Use Disorder) Counselor in Fort Washakie, Wyoming
NPI 1326301599

Myron Littlebird is an Addiction (Substance Use Disorder) Counselor based in Fort Washakie, WY and is specialized in Addiction (Substance Use Disorder). Myron Littlebird practices in Fort Washakie, WY and has the professional credentials of LAC. The NPI Number for Myron Littlebird is 1326301599 and holds a License No. 716 (Wyoming).

The current practice location address for Myron Littlebird is 28 Black Coal Dr, Fort Washakie, WY and can be reached out via phone at 307-332-2203. You can also correspond with Myron Littlebird through the mailing address at PO BOX 638, FORT WASHAKIE, WY - 82514-0638 (mailing address contact number: 307-332-2203).

Location: 28 Black Coal Dr, Fort Washakie, WY, 82514-0638
person
Provider Profile Details
NPI Number
1326301599
Provider Name
Myron Littlebird
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
28 Black Coal Dr, Fort Washakie, WY, 82514-0638
Phone Number
307-332-2203
Fax Number
Provider Enumeration Date
06/21/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265751309 05 WY
institution
Provider Business Practice Location Address Details
Address
28 Black Coal Dr
City
State
Zip
82514-0638
Phone Number
307-332-2203
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 638
City
State
Zip
82514-0638
Phone Number
307-332-2203
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
716 (Montana)
Definition
Definition to come...
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