| NPI | 1508180217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH D COCKREHAM Registered Agent 307-287-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC787) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2024-02-08 |