| NPI | 1639593080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L. WRIEDT-BYRNE Partner 307-631-5574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-824) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-575) |
| 101YP2500X Counselor, Professional (Licence: WY LPC-483) | |
| 101YP2500X Counselor, Professional (Licence: WY LPC-1425) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2015-01-20 |