person
Tavis Rasnake
Counselor in Cheyenne, Wyoming
NPI 1831631654

Tavis Rasnake is a Counselor based in Cheyenne, WY. Tavis Rasnake practices in Cheyenne, WY. The NPI Number for Tavis Rasnake is 1831631654 and holds a License No. PPC-975 (Wyoming).

The current practice location address for Tavis Rasnake is 2526 Seymour Ave, Cheyenne, WY and can be reached out via phone at 307-634-9653 and via fax at 307-638-8256.

Location: 2526 Seymour Ave, Cheyenne, WY, 82001-3159
person
Provider Profile Details
NPI Number
1831631654
Provider Name
Tavis Rasnake
Credential
Provider Entity Type
Individual
Gender
Male
Address
2526 Seymour Ave, Cheyenne, WY, 82001-3159
Phone Number
307-634-9653
Fax Number
307-638-8256
Provider Enumeration Date
11/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2526 Seymour Ave
City
State
Zip
82001-3159
Phone Number
307-634-9653
Fax Number
307-638-8256
person
Provider Business Mailing Address Details
Address
2526 Seymour Ave
City
State
Zip
82001-3159
Phone Number
307-634-9653
Fax Number
307-638-8256
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
PPC-975 (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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