Tafoya, Russell J.
Tafoya, Russell J. is an individual health care provider with primary practice located at 2600 E 18Th St , Cheyenne WY 82001-5511. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tafoya, Russell J. can be contacted via phone (307) 633-7370.Contact Information
Primary practice address
2600 E 18Th St
Cheyenne WY 82001-5511
Phone: (307) 633-7370
Fax: (307) 633-7202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 778 | Wyoming |
Profile Details
| NPI number | 1093980575 |
|---|---|
| LBN Legal business name | Tafoya, Russell J. |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Nov 3rd, 2022 - about 2 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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