Healthcare Provider Details

I. General information

NPI: 1790183655
Provider Name (Legal Business Name): AARON J. PREECE LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2014
Last Update Date: 06/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 COUNTRY CLUB LANE
PINEDALE WY
82941
US

IV. Provider business mailing address

2300 FOOTHILL BLVD
ROCK SPRINGS WY
82901-5610
US

V. Phone/Fax

Practice location:
  • Phone: 307-367-2111
  • Fax: 307-352-6614
Mailing address:
  • Phone: 307-352-6677
  • Fax: 307-352-6614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPPC-864
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: