| Cedar Ridge Child And Family Counseling | |
|
815 S Center St Casper WY 82601-3730 | |
| (307) 333-1301 | |
| (307) 333-5436 |
| Full Name | Cedar Ridge Child And Family Counseling |
|---|---|
| Speciality | Psychologist |
| Location | 815 S Center St, Casper, Wyoming |
| Authorized Official Name and Position | Tricia Ranae Miller (OWNER) |
| Authorized Official Contact | 3072586755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Ridge Child And Family Counseling 5727 S Moki Casper WY 82604-9102 Ph: (307) 258-6755 | Cedar Ridge Child And Family Counseling 815 S Center St Casper WY 82601-3730 Ph: (307) 333-1301 |
| NPI Number | 1659826444 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 03/16/2020 |
| Certification Date | 03/16/2020 |
| Medicare PECOS PAC ID | 9335427376 |
|---|---|
| Medicare Enrollment ID | O20161026002379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659826444 | NPI | - | NPPES |
| Provider Name | Tricia Ranae Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104062645 PECOS PAC ID: 0143541581 Enrollment ID: I20150618001229 |
| Provider Name | Rachel Evelyn Yauney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932671179 PECOS PAC ID: 3173939576 Enrollment ID: I20210310000562 |
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