Provider Demographics
NPI:1316168776
Name:DEHLER, JOHN HENRY (LCSW BCD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HENRY
Last Name:DEHLER
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Gender:M
Credentials:LCSW BCD
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Mailing Address - Street 1:PO BOX 2217
Mailing Address - Street 2:JOHN H DEHLER
Mailing Address - City:GLENROCK
Mailing Address - State:WY
Mailing Address - Zip Code:82637-2217
Mailing Address - Country:US
Mailing Address - Phone:307-436-2388
Mailing Address - Fax:307-436-2388
Practice Address - Street 1:925 W BIRCH ST
Practice Address - Street 2:GLENROCK HEALTH CENTER
Practice Address - City:GLENROCK
Practice Address - State:WY
Practice Address - Zip Code:82637-0786
Practice Address - Country:US
Practice Address - Phone:307-436-9206
Practice Address - Fax:307-436-9730
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
WYLCSW4821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical