| NPI | 1093005803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA NESSLNGER Licensed Professional Counselor 307-755-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC#1027) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC#290) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY LAT#265) | |
| 1041C0700X Social Worker, Clinical (Licence: WY LCSW#176) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |