Manton, Krista Marie-Merezko
Manton, Krista Marie-Merezko is an individual health care provider with primary practice located at 1050 N 3Rd St Suite B-1, Laramie WY 82072-2544. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Manton, Krista Marie-Merezko can be contacted via phone (307) 742-4769.Contact Information
Primary practice address
1050 N 3Rd St Suite B-1
Laramie WY 82072-2544
Phone: (307) 742-4769
Fax: (307) 742-6702
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC894 | Wyoming |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC #894 | Wyoming |
Profile Details
NPI number | 1881773083 |
---|---|
LBN Legal business name | Manton, Krista Marie-Merezko |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 6th, 2006 |
Last updated | Oct 10th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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