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Tina Dall States, LPC
Mental Health Counselor in Powell, Wyoming
NPI 1952315046

Tina Dall States is a Mental Health Counselor based in Powell, WY and is specialized in Mental Health. Tina Dall States practices in Powell, WY and has the professional credentials of LPC. The NPI Number for Tina Dall States is 1952315046 and holds a License No. LPC 926 (Wyoming).

The current practice location address for Tina Dall States is 450 Mountain View, Powell, WY and can be reached out via phone at 307-254-0661.

Location: 450 Mountain View, Powell, WY, 82435-1743
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Provider Profile Details
NPI Number
1952315046
Provider Name
Tina Dall States
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
450 Mountain View, Powell, WY, 82435-1743
Phone Number
307-254-0661
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
314239 01 WY BCBS/WY
institution
Provider Business Practice Location Address Details
Address
450 Mountain View
City
State
Zip
82435-1958
Phone Number
307-254-0661
Fax Number
person
Provider Business Mailing Address Details
Address
450 Mountain View
City
State
Zip
82435-1958
Phone Number
307-254-0661
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC 926 (Wyoming)
Definition
Definition to come...
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