Individual provider · Type 1 NPI

Gwendolyn L. Smith-Russell, LPC

Professional Counselor · Cheyenne, WY

NPI number 1649474396 Active

Practice location

1613 Evans Ave
Cheyenne, WY 82001-4619

Call (307) 221-1133 Map

Fax (307) 635-3965

Mailing address

656 Vista Ln
Cheyenne, WY 82009-3332

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X147 (WY)
Professional Counselor Primary 101YP2500X423 (WY)

Professional Counselor: Definition to come...

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About NPI 1649474396

Gwendolyn L. Smith-Russell, LPC's National Provider Identifier is 1649474396, issued on Jun 14, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cheyenne, WY. The record was last updated on Aug 14, 2014.