| NPI | 1538413356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI SKORDAS Therapist 307-324-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WY 482) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA PPC-682) |
| 101Y00000X Counselor (Licence: WY LPC-1245) | |
| 1041C0700X Social Worker, Clinical (Licence: WY CSW-166) | |
| 1041C0700X Social Worker, Clinical (Licence: WY LCSW-761) | |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |