Stephanie M Kettl, MS, LPC

NPI #1982938114 in Cheyenne, Wyoming

Provider Information

NPI Number: 1982938114
Entity Type: Individual
Name: Stephanie M Kettl, MS, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MS, LPC
Enumeration Date: Sep 21, 2009
Last Updated: Jul 22, 2016

Practice Location

Address: 821 W PERSHING BLVD
City: Cheyenne
State: Wyoming
ZIP Code: 82001-2537
Phone: (307) 421-9329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X	Primary

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