Linnaea D. Sutphin, Llc | |
109 E 17th St Ste 210 Cheyenne WY 82001-4543 | |
(307) 996-7964 | |
Not Available |
Full Name | Linnaea D. Sutphin, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 109 E 17th St Ste 210, Cheyenne, Wyoming |
Authorized Official Name and Position | Linnaea Despain Sutphin (ORGANIZER) |
Authorized Official Contact | 3079967964 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Linnaea D. Sutphin, Llc 2297 Carina Ct Cheyenne WY 82009-9757 Ph: (307) 996-7964 | Linnaea D. Sutphin, Llc 109 E 17th St Ste 210 Cheyenne WY 82001-4543 Ph: (307) 996-7964 |
NPI Number | 1932820347 |
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Provider Enumeration Date | 09/06/2022 |
Last Update Date | 09/06/2022 |
Certification Date | 09/06/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932820347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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