| Buffalo Ridge Counseling Llc | |
|
1901 Energy Ct Ste 170 Gillette WY 82718-5574 | |
| (307) 254-0007 | |
| Not Available |
| Full Name | Buffalo Ridge Counseling Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1901 Energy Ct Ste 170, Gillette, Wyoming |
| Authorized Official Name and Position | Gregory James Bennett (OWNER/DIRECTOR) |
| Authorized Official Contact | 3072540007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buffalo Ridge Counseling Llc 3105 Goldenrod Ave Gillette WY 82716-2287 Ph: (307) 254-0007 | Buffalo Ridge Counseling Llc 1901 Energy Ct Ste 170 Gillette WY 82718-5574 Ph: (307) 254-0007 |
| NPI Number | 1457173031 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457173031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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