person
Mr. Lewis Page Waldron JR., LAT
Addiction (Substance Use Disorder) Counselor in Cheyenne, Wyoming
NPI 1508815705

Lewis Page Waldron JR. is an Addiction (Substance Use Disorder) Counselor based in Cheyenne, WY and is specialized in Addiction (Substance Use Disorder). Lewis Page Waldron JR. practices in Cheyenne, WY and has the professional credentials of LAT. The NPI Number for Lewis Page Waldron JR. is 1508815705 and holds a License No. LAT 141 (Wyoming).

The current practice location address for Lewis Page Waldron JR. is 2360 E Pershing Blvd, Cheyenne, WY and can be reached out via phone at 307-778-7324.

Location: 2360 E Pershing Blvd, Cheyenne, WY, 82007-2723
person
Provider Profile Details
NPI Number
1508815705
Provider Name
Lewis Page Waldron JR.
Credential
LAT
Provider Entity Type
Individual
Gender
Male
Address
2360 E Pershing Blvd, Cheyenne, WY, 82007-2723
Phone Number
307-778-7324
Fax Number
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2360 E Pershing Blvd
City
State
Zip
82001-5356
Phone Number
307-778-7324
Fax Number
person
Provider Business Mailing Address Details
Address
2360 E Pershing Blvd
City
State
Zip
82001-5356
Phone Number
307-778-7324
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LAT 141 (Wyoming)
Definition
Definition to come...
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