| Doctor Name: | STANLEY C NATE |
| NPI Number: | 1083888440 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MNLP |
| License Number: | |
| Business Practice Address: | 417 Broadway St Rock Springs, WY - 829016244 |
| Business Phone Number: | 3073826606 |
| Business Fax Number: | 3073829165 |
| Mailing Address: | 417 Broadway St, ROCK SPRINGS |
| State: | WY |
| Postal Code: | 829016244 |
| Phone Number: | 3073826606 |
| Fax Number: | 3073829165 |
| NPI Enumeration Date: | 04/16/2008 |
| NPI Last Update Date: | 05/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |