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Carissa Louise Painter-sams, MSNCCLPC
Counselor in Gillette, Wyoming
NPI 1366153116

Carissa Louise Painter-sams is a Counselor based in Gillette, WY. Carissa Louise Painter-sams practices in Gillette, WY and has the professional credentials of MSNCCLPC. The NPI Number for Carissa Louise Painter-sams is 1366153116 and holds a License No. PPC-1221 (Wyoming).

The current practice location address for Carissa Louise Painter-sams is 201 W Lakeway Rd Ste 212, Gillette, WY and can be reached out via phone at 307-680-1045.

Location: 201 W Lakeway Rd Ste 212, Gillette, WY, 82718-7623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366153116
Provider Name
Carissa Louise Painter-sams
Credential
MSNCCLPC
Provider Entity Type
Individual
Gender
Female
Address
201 W Lakeway Rd Ste 212, Gillette, WY, 82718-7623
Phone Number
307-680-1045
Fax Number
Provider Enumeration Date
12/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 W Lakeway Rd Ste 212
City
Gillette
State
Wyoming
Zip
82718-6341
Phone Number
307-680-1045
Fax Number
person
Provider Business Mailing Address Details
Address
201 W Lakeway Rd Ste 212
City
Gillette
State
Wyoming
Zip
82718-6341
Phone Number
307-680-1045
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
PPC-1221 (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.
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