| NPI | 1952706822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MICHAEL Therapist 307-337-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1248) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 1368) |
| 101YP2500X Counselor, Professional (Licence: WY 560) | |
| 106H00000X Marriage & Family Therapist (Licence: WY 151) | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |