| Doctor Name: | JULIE LAIB |
| NPI Number: | 1144479759 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, NCC |
| License Number: | 1170 |
| Business Practice Address: | 1725 Sheridan Avenue Suite 147 Cody, WY - 824143409 |
| Business Phone Number: | 3075879755 |
| Business Fax Number: | |
| Mailing Address: | 2236 Steadman St, CODY |
| State: | WY |
| Postal Code: | 824149437 |
| Phone Number: | 3075879755 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2008 |
| NPI Last Update Date: | 10/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1170 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |