Individual provider · Type 1 NPI

Theresa J. Poll, MS NCC LPC CAJSM

Professional Counselor · Laramie, WY

NPI number 1467510057 Active

Practice location

1263 N 15th St
Laramie, WY 82072-2343

Call (307) 745-8915 Map

Fax (307) 745-8761

Mailing address

1658 Fox Ridge Rd
Laramie, WY 82072-5117

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X775 (WY)

Professional Counselor: Definition to come...

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About NPI 1467510057

Theresa J. Poll, MS NCC LPC CAJSM's National Provider Identifier is 1467510057, issued on Dec 5, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Laramie, WY. The record was last updated on Jul 8, 2007.