Gina M Colaw, CAPA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Casper, WY
NPI 1750165114 · NPPES record last updated Aug 24, 2023
Key facts
- NPI
- 1750165114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CAPA-086 (WY)
- Practice address
- 231 S Wilson St
Casper, WY 82601-2941 - Phone
- (307) 265-3791
- NPI assigned
- Aug 24, 2023
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| CAPA-086 | WY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAPA-086 | WY | Yes |
Addresses
Primary practice location
231 S Wilson St
Casper, WY 82601-2941
Mailing address
231 S Wilson St
Casper, WY 82601-2941
Phone (307) 265-3791
Other providers in Casper, WY
- Coats Companion Care Inc
- Garrett Coats
- Zachary David Cochran
- Coleman Cogswell
- Randi Michelle Cohen-Anderson
- Colman Equipment Co., Inc
- Colorful Minds
- Piyanuch Colson
- Combs Psychotherapy L.L.C.
- Stephanie M Combs
All providers in Casper, WY · Addiction (Substance Use Disorder) Counselor in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.