Provider Demographics
NPI:1952522690
Name:FLORES, MARGARET M (BA, CAP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:FLORES
Suffix:
Gender:F
Credentials:BA, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 WILDERNESS TRL
Mailing Address - Street 2:
Mailing Address - City:GREEN RIVER
Mailing Address - State:WY
Mailing Address - Zip Code:82935-5635
Mailing Address - Country:US
Mailing Address - Phone:307-871-0773
Mailing Address - Fax:307-382-6881
Practice Address - Street 1:4000 DEWAR DR
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-6218
Practice Address - Country:US
Practice Address - Phone:307-382-3010
Practice Address - Fax:307-382-6881
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYCAP-007101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)