Kimberly Sue Stephens, MS.

Individual provider Active NPI School Counselor · Mountain View, WY

NPI 1457076085 · NPPES record last updated Oct 6, 2022

Key facts

NPI
1457076085
Entity type
Individual (NPI type 1)
Primary specialty
School Counselor 101YS0200X
License
PTSB68773 (WY)
Practice address
310 County Road 241
Mountain View, WY 82939-0130
Phone
(307) 782-6338
NPI assigned
Oct 6, 2022
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PTSB68773WYMDSchool Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X PTSB68773 WY Yes

Addresses

Primary practice location

310 County Road 241
Mountain View, WY 82939-0130

Mailing address

PO Box 130
Mountain View, WY 82939-0130
Phone (307) 782-6338

Other providers in Mountain View, WY

All providers in Mountain View, WY · School Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.