Healthcare Provider Details

I. General information

NPI: 1457608473
Provider Name (Legal Business Name): SHAWNNA PUNTENEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2012
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 THELMA DR #222
CASPER WY
82609-2325
US

IV. Provider business mailing address

301 THELMA DR # 222
CASPER WY
82609-2325
US

V. Phone/Fax

Practice location:
  • Phone: 307-262-5810
  • Fax:
Mailing address:
  • Phone: 307-262-5810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC 829
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC 829
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: