Provider Demographics
NPI:1720700925
Name:DEUTER, CRAIG (LPC)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:DEUTER
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 1:201 W LAKEWAY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-6307
Mailing Address - Country:US
Mailing Address - Phone:307-686-0808
Mailing Address - Fax:
Practice Address - Street 1:201 W LAKEWAY RD STE 400
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-6307
Practice Address - Country:US
Practice Address - Phone:307-686-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-1051101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health