Barbara Rae Conner, LPC, CRC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Riverton, WY

NPI 1497047484 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1497047484
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LPC-1147 (WY)
Practice address
625 E Madison Ave Ste 1
Riverton, WY 82501-4712
Phone
(307) 463-0337
Fax
(307) 463-0041
NPI assigned
May 9, 2011
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

State licenses

LicenseStateTypeSpecialty
LPC-1147WYMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LPC-1147 WY Yes

Addresses

Primary practice location

625 E Madison Ave Ste 1
Riverton, WY 82501-4712

Mailing address

625 E Madison Ave Ste 1
Riverton, WY 82501-4712
Phone (307) 463-0337

Other practice location 1

1100 Major Ave
Riverton, WY 82501-2342
Phone (307) 856-6587

Other providers in Riverton, WY

All providers in Riverton, WY · Addiction (Substance Use Disorder) Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.