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KELSEE JO FICKER

Individual Provider (NPI-1) Active

Counselor, Addiction (Substance Use Disorder)

Provider Information

NPI Number
1558846600
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
350 CITY VIEW DR STE 206, EVANSTON, WY, 829305326
Phone
(307) 789-7915
Fax
(307) 789-6009

Specialties & Taxonomies

Case Manager/Care Coordinator License: WY
Counselor, Addiction (Substance Use Disorder) Primary License: WY #PAT100

All Addresses

LOCATION

350 CITY VIEW DR STE 206

EVANSTON, WY, 829305326

(307) 789-7915

MAILING

492 MILLER AVE

EVANSTON, WY, 829304922

(307) 677-3369