Provider Demographics
NPI:1639314115
Name:CATUS, GARY (LPC)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:
Last Name:CATUS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 S FOREST DR
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-2241
Mailing Address - Country:US
Mailing Address - Phone:307-258-0462
Mailing Address - Fax:307-358-5329
Practice Address - Street 1:541 S FOREST DR
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-2241
Practice Address - Country:US
Practice Address - Phone:307-258-0462
Practice Address - Fax:307-358-5329
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2015-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-943101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional