Provider Demographics
NPI:1013557271
Name:ENGEL, EMILY KATHRINE (LPC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:KATHRINE
Last Name:ENGEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2980 PHEASANT DR
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-4305
Mailing Address - Country:US
Mailing Address - Phone:307-247-0585
Mailing Address - Fax:
Practice Address - Street 1:940 E 3RD ST STE 104
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-3200
Practice Address - Country:US
Practice Address - Phone:307-462-4876
Practice Address - Fax:307-337-3492
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPPC-1170101YM0800X
WYLPC-2019101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health