person
Mr. Randall Alan Basden, MSED
Professional Counselor in Wheatland, Wyoming
NPI 1831311760

Randall Alan Basden is a Professional Counselor based in Cheyenne, WY and is specialized in Professional. Randall Alan Basden practices in Wheatland, WY and has the professional credentials of MSED. The NPI Number for Randall Alan Basden is 1831311760 and holds a License No. LPC- 858 (Wyoming).

The current practice location address for Randall Alan Basden is 1954 W Mariposa Pkwy, Wheatland, WY and can be reached out via phone at 307-322-3190. You can also correspond with Randall Alan Basden through the mailing address at 510 W 29TH ST, CHEYENNE, WY - 82001-2760 (mailing address contact number: 307-426-4728).

Location: 1954 W Mariposa Pkwy, Wheatland, WY, 82001-2760
person
Provider Profile Details
NPI Number
1831311760
Provider Name
Randall Alan Basden
Credential
MSED
Provider Entity Type
Individual
Gender
Male
Address
1954 W Mariposa Pkwy, Wheatland, WY, 82001-2760
Phone Number
307-322-3190
Fax Number
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
132748801 05 WY
institution
Provider Business Practice Location Address Details
Address
1954 W Mariposa Pkwy
City
State
Zip
82201-3102
Phone Number
307-322-3190
Fax Number
person
Provider Business Mailing Address Details
Address
510 W 29Th St
City
State
Zip
82001-2760
Phone Number
307-426-4728
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC- 858 (Wyoming)
Definition
Definition to come...
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