Provider Demographics
NPI:1447087572
Name:HARKIN, ALISON MARGARET (MS, PPC)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:MARGARET
Last Name:HARKIN
Suffix:
Gender:F
Credentials:MS, PPC
Other - Prefix:MS
Other - First Name:ALISON
Other - Middle Name:MARGARET
Other - Last Name:QUAGGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1079 COLINA DR
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82072-5014
Mailing Address - Country:US
Mailing Address - Phone:307-703-0821
Mailing Address - Fax:
Practice Address - Street 1:1575 N 4TH ST STE 103
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82072-2091
Practice Address - Country:US
Practice Address - Phone:307-721-0700
Practice Address - Fax:307-721-1039
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1502101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor