| Southern Wyoming Counseling Llc | |
|
1007 Jade Dr # C Hanna WY 82327-5056 | |
| (435) 232-4493 | |
| Not Available |
| Full Name | Southern Wyoming Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1007 Jade Dr # C, Hanna, Wyoming |
| Authorized Official Name and Position | Megan Larsen (ADMIN/BILLING) |
| Authorized Official Contact | 8019491447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Wyoming Counseling Llc Po Box 791 Hanna WY 82327-0791 Ph: (435) 232-4493 | Southern Wyoming Counseling Llc 1007 Jade Dr # C Hanna WY 82327-5056 Ph: (435) 232-4493 |
| NPI Number | 1639820343 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/13/2022 |
| Certification Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639820343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |