person
Regina Gale Antelope X, AAA,CAP
Addiction (Substance Use Disorder) Counselor in Riverton, Wyoming
NPI 1457713885

Regina Gale Antelope X is an Addiction (Substance Use Disorder) Counselor based in Riverton, WY and is specialized in Addiction (Substance Use Disorder). Regina Gale Antelope X practices in Riverton, WY and has the professional credentials of AAA,CAP. The NPI Number for Regina Gale Antelope X is 1457713885 and holds a License No. C.A.P. 033 (Wyoming).

The current practice location address for Regina Gale Antelope X is 10269 Hwy 789, Riverton, WY and can be reached out via phone at 307-857-9468 and via fax at 307-333-0447.

Location: 10269 Hwy 789, Riverton, WY, 82501-0240
person
Provider Profile Details
NPI Number
1457713885
Provider Name
Regina Gale Antelope X
Credential
AAA,CAP
Provider Entity Type
Individual
Gender
Female
Address
10269 Hwy 789, Riverton, WY, 82501-0240
Phone Number
307-857-9468
Fax Number
307-333-0447
Provider Enumeration Date
03/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10269 Hwy 789
City
State
Zip
82501
Phone Number
307-857-9468
Fax Number
307-333-0447
person
Provider Business Mailing Address Details
Address
10269 Hwy 789
City
State
Zip
82501
Phone Number
307-857-9468
Fax Number
307-333-0447
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C.A.P. 033 (Wyoming)
Definition
Definition to come...
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