Cornerstone Counseling, Brandon Dixon LLC
Social Worker, Clinical in Cheyenne, WY. Organization (NPI-2).
NPI number1437807377
StatusActive
Last updated in NPPESMar 11, 2022
Details
- NPI
- 1437807377
- Entity type
- Organization (NPI-2)
- Legal business name
- Cornerstone Counseling, Brandon Dixon LLC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2022
- Certification date
- Mar 11, 2022
- Last updated
- Mar 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
2909 Bent Ave Unit B1Cheyenne, WY 82001-2742
Phone 307-222-2309
Mailing address
2909 Bent Ave Unit B1Cheyenne, WY 82001-2742
Phone 307-222-2309
Authorized official
Brandon Dixon
Owner
3072222309
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