Zachary Martin McInerney, LPC

Individual provider Active NPI Professional Counselor · Laramie, WY

NPI 1679303804 · NPPES record last updated Aug 19, 2024

Key facts

NPI
1679303804
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC.0020959 (CO)
Practice address
1575 N 4TH St Ste 103
Laramie, WY 82072-2091
Phone
(307) 214-7581
NPI assigned
Aug 2, 2024
Sex
Male
Sole proprietor
Yes

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.0020959COMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0020959 CO Yes

Addresses

Primary practice location

1575 N 4TH St Ste 103
Laramie, WY 82072-2091

Mailing address

4419 Charles St
Cheyenne, WY 82001-2104
Phone (307) 214-7581

Other providers in Laramie, WY

All providers in Laramie, WY · Professional Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.