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General NPI Number Information
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NPI Number | 1639593080
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Entity Type | Organization
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Legal Business Name | CAPITOL COUNSELING, LLC
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Dates
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Enumeration Date | 02/05/2014
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 1918 THOMES AVE
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City | CHEYENNE
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State | WY
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Zip | 82001-3527
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Country | US
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Telephone | 307-631-5574
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Fax | 307-514-5751
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Provider Business Mailing Address
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Address Line | 1918 THOMES AVE
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City | CHEYENNE
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State | WY
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Zip | 82001-3527
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Country | US
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Telephone | 307-631-5574
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Fax | 307-514-5751
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Authorized Official
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Title or Position | PARTNER
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Name | MR. SUSAN L. WRIEDT-BYRNE
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Credential | MS,LPC, NCC
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Telephone | 307-631-5574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-575
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License Number State | WY
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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 | LPC-483
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-1425
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | WY
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-824
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License Number State | WY
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