-- BEVERLY FACKRELL -- LPC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1700177300- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 177 WOODRIDGE LN, EVANSTON, WY, 829304615
- Phone
- (307) 679-8765
Specialties & Taxonomies
Counselor, Professional
Primary License: WY #LPC 1289