Mrs. Cassidy Diane Provo, PPC
Mrs. Cassidy Diane Provo, PPC is a Professional Counselor in Casper, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.
- Licensed in
- WY
- In the registry since
- 2019
Practice location Address checks out
2241 Farnum St Ste 102Casper, WY 82609-4108
Phone: (307) 234-9979
Fax: (307) 234-9989
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 1151 (WY) |
|---|
Record details
| NPI number | 1942851019 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PPC |
| Sole proprietor | Yes |
| NPI enumerated | September 20, 2019 |
| Last updated in NPPES | September 20, 2019 |
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