Individual provider · Type 1 NPI

Stephanie M. Kettl, MS, LPC

Professional Counselor · Cheyenne, WY

NPI number 1982938114 Active

Practice location

821 W Pershing Blvd
Cheyenne, WY 82001-2537

Fax (307) 635-3965

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X1017 (WY)
Professional Counselor Primary 101YP2500X1017 (WY)

Professional Counselor: Definition to come...

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About NPI 1982938114

Stephanie M. Kettl, MS, LPC's National Provider Identifier is 1982938114, issued on Sep 21, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cheyenne, WY. The record was last updated on Jul 22, 2016.