| Trauma And Supportive Counseling Tasc | |
|
1705 Albany Ave Ste 800 Cheyenne WY 82001-5027 | |
| (307) 757-6014 | |
| Not Available |
| Full Name | Trauma And Supportive Counseling Tasc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1705 Albany Ave Ste 800, Cheyenne, Wyoming |
| Authorized Official Name and Position | Sandra Brausch (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3037576014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma And Supportive Counseling Tasc 1705 Albany Ave Ste 800 Cheyenne WY 82001-5027 Ph: (303) 757-6014 | Trauma And Supportive Counseling Tasc 1705 Albany Ave Ste 800 Cheyenne WY 82001-5027 Ph: (307) 757-6014 |
| NPI Number | 1770200602 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770200602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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