SearchWyoming101YP2500X

Beverly Fackrell, LPC

NPI 1700177300 · on the registry since 2011 · sole proprietor

Practice

Address
177 Woodridge Ln
Evanston, WY 82930
Phone
(307) 679-8765

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-10-20

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