SearchWyoming101YP2500X

Gwendolyn Smith-Russell, LPC

NPI 1649474396 · on the registry since 2007 · sole proprietor

Practice

Address
1613 Evans Ave
Cheyenne, WY 82001
Phone
(307) 221-1133
Fax
(307) 635-3965

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming