Provider Demographics
NPI:1841680105
Name:HARTMAN, WESLEY (LPC)
Entity type:Individual
Prefix:
First Name:WESLEY
Middle Name:
Last Name:HARTMAN
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 1:1507 CAREY AVE
Mailing Address - Street 2:STE 3
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-4483
Mailing Address - Country:US
Mailing Address - Phone:307-514-9744
Mailing Address - Fax:307-514-9744
Practice Address - Street 1:1507 CAREY AVE
Practice Address - Street 2:STE 3
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-4483
Practice Address - Country:US
Practice Address - Phone:307-514-9744
Practice Address - Fax:307-514-9744
Is Sole Proprietor?:No
Enumeration Date:2015-01-26
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WYLPC-1622101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor