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NPI Code Detail

MEDICARE: MORGAN COUSINS PPC

MEDICARE:   MORGAN  COUSINS  PPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorPPC-1581WY

General Provider Information

NPI Number : 1932775780
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN COUSINS PPC
Provider Business Mailing Address
First Line : 1575 N 4TH ST STE 103
Second Line :
City : LARAMIE
State : WY
Zip : 82072-2091
Country : US
Telephone Number : 307-721-0700
Fax Number :
Provider Business Practice Location Address
First Line : 1575 N 4TH ST STE 103
Second Line :
City : LARAMIE
State : WY
Zip : 82072-2091
Country : US
Telephone Number : 307-721-0700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2021
Last Update Date : 12/03/2025

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Directions to “ MORGAN COUSINS PPC” Practice Location

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