| Brookridge Counseling Services Inc | |
|
145 S Durbin St Ste 104 Casper WY 82601-2538 | |
| (307) 267-6779 | |
| (307) 333-0376 |
| Full Name | Brookridge Counseling Services Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 145 S Durbin St Ste 104, Casper, Wyoming |
| Authorized Official Name and Position | Cynthia Ann Repasky (OWNER/PROVIDER) |
| Authorized Official Contact | 3072676779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookridge Counseling Services Inc 145 S Durbin St Ste 104 Casper WY 82601-2538 Ph: (307) 267-6779 | Brookridge Counseling Services Inc 145 S Durbin St Ste 104 Casper WY 82601-2538 Ph: (307) 267-6779 |
| NPI Number | 1578035846 |
|---|---|
| Provider Enumeration Date | 12/26/2018 |
| Last Update Date | 02/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578035846 | NPI | - | NPPES |
| 1760834642 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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