| Casper Family Connections | |
|
500 S Wolcott St Ste 102 Casper WY 82601-2882 | |
| (307) 233-2200 | |
| Not Available |
| Full Name | Casper Family Connections |
|---|---|
| Speciality | Psychologist |
| Location | 500 S Wolcott St Ste 102, Casper, Wyoming |
| Authorized Official Name and Position | Karlea Coulter (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3072332200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casper Family Connections 500 S Wolcott St Ste 102 Casper WY 82601-2882 Ph: (307) 233-2200 | Casper Family Connections 500 S Wolcott St Ste 102 Casper WY 82601-2882 Ph: (307) 233-2200 |
| NPI Number | 1609140706 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 10/12/2020 |
| Certification Date | 10/12/2020 |
| Medicare PECOS PAC ID | 9335497809 |
|---|---|
| Medicare Enrollment ID | O20180731004175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609140706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christine Vencill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801347927 PECOS PAC ID: 0840569281 Enrollment ID: I20170628002517 |
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