NPI 1083941389

Todd Bader, MALPC

Practitioner Counselor Evanston, WY

Practice location

Address: 724 Front St Suite 511, Evanston, WY 82931
Phone: (307) 799-8640
Fax: (307) 789-2866
Mailing address: PO Box 492, Evanston, WY 82931-0492

Registered specialties (3)

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence LPC-519 (WY)

Other Counselor providers in Wyoming →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 512 (WY)

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 512 (WY)

Registry record

NPI: 1083941389
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2009
Record last updated: 23 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.