Individual provider · Type 1 NPI

Lewis Page Waldron Jr., LAT

Addiction (Substance Use Disorder) Counselor · Cheyenne, WY

NPI number 1508815705 Active

Practice location

2360 E Pershing Blvd
Cheyenne, WY 82001-5356

Call (307) 778-7324 Map

Mailing address

1610 W Allison Rd
Cheyenne, WY 82007-2723

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLAT 141 (WY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1508815705

Lewis Page Waldron Jr., LAT's National Provider Identifier is 1508815705, issued on May 8, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cheyenne, WY. The record was last updated on Jul 13, 2026.