Individual provider · Type 1 NPI

Susan Serge

Professional Counselor · Gillette, WY

NPI number 1548092513 Active

Practice location

812 E 4th St
Gillette, WY 82716-4033

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1560 (WY)

Professional Counselor: Definition to come...

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About NPI 1548092513

Susan Serge's National Provider Identifier is 1548092513, issued on Aug 17, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gillette, WY. The record was last updated on Aug 17, 2024.