Front Line Counseling | |
5815 Dakota Dr Cheyenne WY 82001-8543 | |
(307) 286-6157 | |
Not Available |
Full Name | Front Line Counseling |
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Speciality | Counselor |
Location | 5815 Dakota Dr, Cheyenne, Wyoming |
Authorized Official Name and Position | William Jason Pogue (OWNER/PROVIDER) |
Authorized Official Contact | 3072866157 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Front Line Counseling Po Box 20592 Cheyenne WY 82003-7013 Ph: (307) 286-6157 | Front Line Counseling 5815 Dakota Dr Cheyenne WY 82001-8543 Ph: (307) 286-6157 |
NPI Number | 1124572615 |
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Provider Enumeration Date | 08/12/2016 |
Last Update Date | 08/12/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124572615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 1247 (Wyoming) | Primary |
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