Individual provider · Type 1 NPI
Marissa Widiker
Counselor · Casper, WY
NPI number
1639037211
Active
Practice location
1010 E 1st St Ste A
Casper, WY 82601-2753
Mailing address
PO Box 34
Glenrock, WY 82637-0034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | PPC-1619 (WY) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Another provider at this address
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- Carisa BishopCounselor Casper, WY NPI 1083006654
About NPI 1639037211
Marissa Widiker's National Provider Identifier is 1639037211, issued on Jan 13, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Casper, WY. The record was last updated on Jan 22, 2026.