Counseling And Play Therapy Center Of Wyoming, Llc | |
140 S Main St Buffalo WY 82834-1846 | |
(307) 620-1507 | |
Not Available |
Full Name | Counseling And Play Therapy Center Of Wyoming, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 140 S Main St, Buffalo, Wyoming |
Authorized Official Name and Position | Jamie Lynn Frazier Straessler (OWNER) |
Authorized Official Contact | 3076201507 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Counseling And Play Therapy Center Of Wyoming, Llc 46 Rustlers Trl Buffalo WY 82834-2461 Ph: (307) 620-1507 | Counseling And Play Therapy Center Of Wyoming, Llc 140 S Main St Buffalo WY 82834-1846 Ph: (307) 620-1507 |
NPI Number | 1073970349 |
---|---|
Provider Enumeration Date | 01/18/2016 |
Last Update Date | 01/18/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073970349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LPC-1139 (Wyoming) | Primary |
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