Sally Joy Craig, LPC
Individual provider Active NPI Counselor · Gillette, WY
NPI 1962032052 · NPPES record last updated Jan 17, 2020
Key facts
- NPI
- 1962032052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 588 (WY)
- Practice address
- 1800 W 4J Rd
Gillette, WY 82718-9109 - Phone
- (307) 682-5433
- Fax
- (307) 682-7004
- NPI assigned
- Jan 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 588 | WY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Life Counseling LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 588 | WY | Yes |
Addresses
Primary practice location
1800 W 4J Rd
Gillette, WY 82718-9109
Mailing address
1800 W 4J Rd
Gillette, WY 82718-9109
Phone (307) 682-5433
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2020. 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.