| 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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