GWENDOLYN SMITH-RUSSELL, LPC

Counselor - Professional

Active Individual
NPI: 1649474396

Practice Address

1613 EVANS AVE
Cheyenne, WY 82001

Phone: (307) 221-1133

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 147 (WY)
Counselor - Professional 101YP2500X Yes 423 (WY)

Frequently Asked Questions

NPI 1649474396 is the National Provider Identifier for GWENDOLYN SMITH-RUSSELL, LPC, a Counselor - Professional provider located in Cheyenne, WY. This NPI was enumerated on June 14, 2007.
GWENDOLYN SMITH-RUSSELL, LPC practices at 1613 EVANS AVE, Cheyenne, WY 82001.

Quick Facts

NPI
1649474396
Type
Individual
Enumerated
Jun 14, 2007
Last Updated
Aug 14, 2014

Nearby Providers