Dr Rose Quinn, LPC, PHD | |
1263 N 15th St, Laramie, WY 82072 | |
(307) 745-8915 | |
Not Available |
Full Name | Dr Rose Quinn |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1263 N 15th St, Laramie, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093241515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0003993 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | LPC-1749 (Wyoming) | Primary |
Entity Name | Sondermind Provider Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Dr Rose Quinn, LPC, PHD 510 W 29th St, Cheyenne, WY 82001-2760 Ph: (307) 426-4728 | Dr Rose Quinn, LPC, PHD 1263 N 15th St, Laramie, WY 82072 Ph: (307) 745-8915 |
Jacquelyn Ralph, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1575 N 4th St Ste 103, Laramie, WY 82072 Phone: 307-721-0700 | |
Gail Ford, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1263 N 15th St, Laramie, WY 82072 Phone: 307-745-8915 | |
Karen Brooke Glahn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Mitchell St, Laramie, WY 82072 Phone: 801-400-4409 | |
Lois Kline, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1277 N 15th St, Laramie, WY 82072 Phone: 307-742-2181 | |
Samantha S Cowper, MA PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1263 N 15th St, Laramie, WY 82072 Phone: 307-745-8915 Fax: 307-745-8761 | |
Jenna Hepp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1575 N 4th St Ste 103, Laramie, WY 82072 Phone: 307-721-0700 | |
Brittany Bares, M.ED, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Grand Ave, Laramie, WY 82070 Phone: 419-494-3204 |