MRS. Cassidy Diane Provo, PPC is a professional counselor in Casper, WY. MRS. Cassidy Diane Provo, PPC NPI is 1942851019. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2241 FARNUM ST STE 102
CASPER, WY
ZIP 82609-108
Phone: (307) 234-9979
Fax: (307) 234-9989
The enumeration date for this NPI number is 9/20/2019 and was last updated on 9/20/2019.