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NPI Code Detail

MEDICARE: CHRIS HARNDEN LPC

MEDICARE: CHRIS HARNDEN 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
1101Y00000XCounselor549WY
2101YP2500XProfessional CounselorLPC-1291WY
3101YM0800XMental Health CounselorLPC-1291WY
4101Y00000XCounselorLPC-1291WY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1549OTHERWYSTATE LICENSE
2LPC-1291OTHERWYLPC

General Provider Information

NPI Number : 1831470004
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS HARNDEN LPC
Provider Business Mailing Address
First Line : 915 E BRADLEY ST
Second Line :
City : LARAMIE
State : WY
Zip : 82072-3326
Country : US
Telephone Number : 307-721-1588
Fax Number :
Provider Business Practice Location Address
First Line : 4989 N 3RD ST
Second Line :
City : LARAMIE
State : WY
Zip : 82072-9548
Country : US
Telephone Number : 307-721-1588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2011
Last Update Date : 08/13/2012

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