NPI | 1427301134 |
---|---|
Entity Type | Organization |
Authorized Contact | RODNEY HAUG Owner 307-214-2888 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WY 383) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ND 149) |
103TC0700X Psychologist, Clinical (Licence: CO 2661) | |
1041C0700X Social Worker, Clinical (Licence: WY 74) | |
101YP2500X Counselor, Professional (Licence: WY 906) | |
106H00000X Marriage & Family Therapist (Licence: WY 112) | |
Enumeration Date | 2012-10-18 |
Last Update Date | 2012-12-03 |