Individual provider · Type 1 NPI
Reyes Pacheco, PCSW
Mental Health Clinic/Center (Including Community Mental Health Center) · Casper, WY
NPI number
1891558029
Active
Practice location
1514 E 12th St Unit 201
Casper, WY 82601-4080
Mailing address
1221 Ivy Ln
Casper, WY 82609-3065
Other practice locations
- 1221 Ivy Ln, Casper, WY 82609-3065 · (307) 258-1226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | PCSW (WY) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1891558029
Reyes Pacheco, PCSW's National Provider Identifier is 1891558029, issued on Jan 31, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Casper, WY. The record was last updated on Jan 31, 2024.