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NPI Code Detail

MEDICARE: RACHAEL DUGGAN LPC

MEDICARE: RACHAEL DUGGAN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorPPC-1249WY
2101Y00000XCounselor
3172V00000XCommunity Health Worker
4101YP2500XProfessional CounselorLPC-2160WY

General Provider Information

NPI Number : 1245892090
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL DUGGAN LPC
Provider Business Mailing Address
First Line : 2617 E LINCOLNWAY STE G
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-5671
Country : US
Telephone Number : 307-514-1288
Fax Number :
Provider Business Practice Location Address
First Line : 2710 THOMES AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3029
Country : US
Telephone Number : 307-200-7144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2019
Last Update Date : 05/24/2023

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