Livingwater Counseling | |
411 S Walsh Dr Casper WY 82609-2306 | |
(307) 336-3770 | |
Not Available |
Full Name | Livingwater Counseling |
---|---|
Speciality | Community/behavioral Health |
Location | 411 S Walsh Dr, Casper, Wyoming |
Authorized Official Name and Position | Elizabeth Joan Kornkven (PRESIDENT) |
Authorized Official Contact | 3073333060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Livingwater Counseling 5311 S David St Casper WY 82601-6339 Ph: (307) 333-3060 | Livingwater Counseling 411 S Walsh Dr Casper WY 82609-2306 Ph: (307) 336-3770 |
NPI Number | 1093581894 |
---|---|
Provider Enumeration Date | 12/01/2023 |
Last Update Date | 12/01/2023 |
Certification Date | 11/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093581894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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