Provider Demographics
NPI:1861829780
Name:BEECHER, COLLIN G (MS, NCC, LPC)
Entity Type:Individual
Prefix:MR
First Name:COLLIN
Middle Name:G
Last Name:BEECHER
Suffix:
Gender:M
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 N CARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:WY
Mailing Address - Zip Code:82834-1525
Mailing Address - Country:US
Mailing Address - Phone:307-217-0761
Mailing Address - Fax:
Practice Address - Street 1:216 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:WY
Practice Address - Zip Code:82834-1729
Practice Address - Country:US
Practice Address - Phone:307-217-0761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC7271101YP2500X
WYLPC-1376101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional