Individual provider · NPI-1

Cathryn Ahanonu, LCSW

Social Worker, Clinical · Cheyenne, WY

NPI number1326418153
StatusActive
Last updated in NPPESAug 26, 2021

Details

NPI
1326418153
Entity type
Individual (NPI-1)
Name
Cathryn Ahanonu
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Oct 6, 2015
Certification date
Aug 26, 2021
Last updated
Aug 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLCSW - 708WYYes
101Y00000X CounselorLCSW - 708WY
101YA0400X Counselor, Addiction (Substance Use Disorder)LCSW - 708WY

Practice location

2526 Seymour Ave
Cheyenne, WY 82001-3159

Phone 307-634-9653

Mailing address

510 W 29th St
Cheyenne, WY 82001-2760

Phone 307-426-4728

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