Mrs. Cassidy Diane Provo
PPC | Professional Counselor
2241 Farnum St Ste 102, Casper
Wyoming, 82609-4108
307-234-9979 307-234-9989
Maps & DirectionsMrs. Cassidy Diane Provo is a Casper, Wyoming based counselor who is specialized as Professional Counselor. Active license number of Mrs. Cassidy Diane Provo is 1151 for Professional Counselor in Wyoming. Her current practice location is 2241 Farnum St Ste 102, Casper. Patients can book an appointment with her at 307-234-9979.
Mrs. Cassidy Diane Provo is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Mrs. Cassidy Diane Provo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mrs. Cassidy Diane Provo |
| Specialization: | Professional Counselor |
| Gender: | Female |
| Credentials: | PPC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2241 Farnum St Ste 102, Casper,
Wyoming, 82609-4108 |
| Phone: | 307-234-9979 |
| Fax: | 307-234-9989 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1942851019 |
| NPI Enumeration Date: | 20 Sep, 2019 |
| NPI Last Update On: | 20 Sep, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Cassidy Diane Provo are as mentioned below.
| License Number | Specialization | State | Status | |
| 1151 | Professional Counselor | Wyoming | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Cassidy Diane Provo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1295286185 | Medicaid | Wyoming | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2241 Farnum St Ste 102,
Casper, Wyoming |
| Zip: | 82609-4108 |
| Phone Number: | 307-234-9979 |
| Fax Number: | 307-234-9989 |
Patients can reach Mrs. Cassidy Diane Provo at
2241 Farnum St Ste 102, Casper, Wyoming or can
call to book an appointment on 307-234-9979.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.