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General NPI Number Information
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NPI Number | 1063816411
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Entity Type | Individual
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Provider Name | SARAH LEGER-HAYWORTH LPC
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Gender | Female
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 801 E 4TH ST STE 9
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City | GILLETTE
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State | WY
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Zip | 82716-4061
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Country | US
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Telephone | 307-257-2290
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Fax |
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Provider Business Mailing Address
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Address Line | 5406 CRANE ST
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City | GILLETTE
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State | WY
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Zip | 82718-7426
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Country | US
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Telephone | 970-217-2969
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Fax | 307-387-9890
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC00018795
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1505
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC-1505
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License Number State | WY
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