Individual provider · Type 1 NPI

Tina Dall States, LPC

Mental Health Counselor · Powell, WY

NPI number 1952315046 Active

Practice location

450 Mountain View, Building C
Powell, WY 82435-1958

Mailing address

652 Cedarwood Dr
Powell, WY 82435-1743

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC 926 (WY)

Mental Health Counselor: Definition to come...

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About NPI 1952315046

Tina Dall States, LPC's National Provider Identifier is 1952315046, issued on Jul 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Powell, WY. The record was last updated on Jul 21, 2021.