| Patricia R. Nesbit | |
|
601 S Gillette Ave Gillette WY 82716-4205 | |
| (307) 685-8182 | |
| Not Available |
| Full Name | Patricia R. Nesbit |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 601 S Gillette Ave, Gillette, Wyoming |
| Authorized Official Name and Position | Dan Nesbit (OWNER) |
| Authorized Official Contact | 3076858182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia R. Nesbit 601 S Gillette Ave Gillette WY 82716-4205 Ph: () - | Patricia R. Nesbit 601 S Gillette Ave Gillette WY 82716-4205 Ph: (307) 685-8182 |
| NPI Number | 1730608910 |
|---|---|
| Provider Enumeration Date | 09/19/2017 |
| Last Update Date | 09/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730608910 | NPI | - | NPPES |
| 137750700 | Medicaid | WY | |
| 1295052140 | Other | WY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LAT-321 (Wyoming) | Primary |
| 101YP2500X | Counselor - Professional | LPC-1146 (Wyoming) | Secondary |
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