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Kelsey L Mammen, PPC
Professional Counselor in Casper, Wyoming
NPI 1851722482

Kelsey L Mammen is a Professional Counselor based in Casper, WY and is specialized in Professional. Kelsey L Mammen practices in Casper, WY and has the professional credentials of PPC. The NPI Number for Kelsey L Mammen is 1851722482 and holds a License No. (Wyoming).

The current practice location address for Kelsey L Mammen is 1607 Cy Ave Ste 102, Casper, WY and can be reached out via phone at 307-337-4673.

Location: 1607 Cy Ave Ste 102, Casper, WY, 82604-3571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851722482
Provider Name
Kelsey L Mammen
Credential
PPC
Provider Entity Type
Individual
Gender
Female
Address
1607 Cy Ave Ste 102, Casper, WY, 82604-3571
Phone Number
307-337-4673
Fax Number
Provider Enumeration Date
12/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1607 Cy Ave Ste 102
City
Casper
State
Wyoming
Zip
82604-3571
Phone Number
307-337-4673
Fax Number
person
Provider Business Mailing Address Details
Address
1607 Cy Ave Ste 102
City
Casper
State
Wyoming
Zip
82604-3571
Phone Number
307-337-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
PPC-1190 (Wyoming)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
()
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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