Kristi Depoorter

Individual provider Active NPI Professional Counselor · Casper, WY

NPI 1184192528 · NPPES record last updated Nov 4, 2018

Key facts

NPI
1184192528
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
800 Werner CT Ste 300
Casper, WY 82601-1325
Phone
(307) 259-6748
NPI assigned
Nov 4, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X WY Yes

Addresses

Primary practice location

800 Werner CT Ste 300
Casper, WY 82601-1325

Mailing address

4450 S Oak St
Casper, WY 82601-6068
Phone (307) 259-6748

Other providers in Casper, WY

All providers in Casper, WY · Professional Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.