Doctor Name: | MRS. TERRI ANN NAVE |
NPI Number: | 1205971231 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | PPC-323 |
Business Practice Address: | 315 Main Street Suite #15 Lander, WY - 82520 |
Business Phone Number: | 3073324515 |
Business Fax Number: | 3073324899 |
Mailing Address: | 1285 Mcdougall Dr, LANDER |
State: | WY |
Postal Code: | 825203536 |
Phone Number: | 3073329153 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PPC-323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |