Provider Demographics
NPI:1487728150
Name:ERNST, ANN MARIE (LPC)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE
Last Name:ERNST
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 CALLE BONITA
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82607
Mailing Address - Country:US
Mailing Address - Phone:307-472-0636
Mailing Address - Fax:
Practice Address - Street 1:336 SOUTH JACKSON
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601
Practice Address - Country:US
Practice Address - Phone:307-265-2555
Practice Address - Fax:307-237-1259
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC768101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional