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Gwendolyn L Smith-russell, LPC
Professional Counselor in Cheyenne, Wyoming
NPI 1649474396

Gwendolyn L Smith-russell is a Professional Counselor based in Cheyenne, WY and is specialized in Professional. Gwendolyn L Smith-russell practices in Cheyenne, WY and has the professional credentials of LPC. The NPI Number for Gwendolyn L Smith-russell is 1649474396 and holds a License No. 147 (Wyoming).

The current practice location address for Gwendolyn L Smith-russell is 1613 Evans Ave, Cheyenne, WY and can be reached out via phone at 307-221-1133 and via fax at 307-635-3965.

Location: 1613 Evans Ave, Cheyenne, WY, 82009-3332
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Provider Profile Details
NPI Number
1649474396
Provider Name
Gwendolyn L Smith-russell
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1613 Evans Ave, Cheyenne, WY, 82009-3332
Phone Number
307-221-1133
Fax Number
307-635-3965
Provider Enumeration Date
06/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1613 Evans Ave
City
State
Zip
82001-4619
Phone Number
307-221-1133
Fax Number
307-635-3965
person
Provider Business Mailing Address Details
Address
1613 Evans Ave
City
State
Zip
82001-4619
Phone Number
307-221-1133
Fax Number
307-635-3965
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
423 (Wyoming)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
147 (Wyoming)
Definition
Definition to come...
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