Upchurch, Janet Lynn

Upchurch, Janet Lynn is an individual health care provider with primary practice located at 2020 E Grand Ave Ste 410 , Laramie WY 82070-4380. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Upchurch, Janet Lynn can be contacted via phone (208) 490-0635.

Contact Information

Primary practice address
2020 E Grand Ave Ste 410 Laramie WY 82070-4380
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-691 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X 691 Wyoming

Profile Details

NPI number 1346237633
LBN Legal business name Upchurch, Janet Lynn
Credentials M.A., L.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2005
Last updated May 31st, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346237633 NPPES
Wyoming MEDICAID 2CF879B33D

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