Tina Dall States, LPC

NPI #1952315046 in Powell, Wyoming

Provider Information

NPI Number: 1952315046
Entity Type: Individual
Name: Tina Dall States, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Jul 27, 2006
Last Updated: Jul 21, 2021

Practice Location

Address: 450 MOUNTAIN VIEW
Address 2: BUILDING C
City: Powell
State: Wyoming
ZIP Code: 82435-1958
Phone: (307) 254-0661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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