Smith-Russell, Gwendolyn L

Smith-Russell, Gwendolyn L is an sole proprietor health care provider with primary practice located at 1613 Evans Ave , Cheyenne WY 82001-4619. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith-Russell, Gwendolyn L can be contacted via phone (307) 221-1133.

Contact Information

Primary practice address
1613 Evans Ave Cheyenne WY 82001-4619
Phone: (307) 221-1133
Fax: (307) 635-3965
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 147 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X 423 Wyoming

Profile Details

NPI number 1649474396
LBN Legal business name Smith-Russell, Gwendolyn L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2007
Last updated Aug 14th, 2014 - about 10 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.

Request for update

Popular Providers