Healthcare Provider Details

I. General information

NPI: 1184338972
Provider Name (Legal Business Name): STEPHANIE MARKER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

971 GILCHRIST ST STE 2
WHEATLAND WY
82201-2958
US

IV. Provider business mailing address

905 20TH ST
WHEATLAND WY
82201-2420
US

V. Phone/Fax

Practice location:
  • Phone: 307-331-8350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-2320
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberPTSB60546
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: