Complete Care Counseling, Llc | |
2510 E 15th St Suite 11 Casper WY 82609-4111 | |
(307) 234-9979 | |
(307) 234-9989 |
Full Name | Complete Care Counseling, Llc |
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Speciality | Social Worker - Clinical |
Location | 2510 E 15th St, Casper, Wyoming |
Authorized Official Name and Position | Codie Lynn Wallace (OWNER) |
Authorized Official Contact | 3077971726 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Complete Care Counseling, Llc 2510 E 15th St Suite 11 Casper WY 82609-4111 Ph: (307) 234-9979 | Complete Care Counseling, Llc 2510 E 15th St Suite 11 Casper WY 82609-4111 Ph: (307) 234-9979 |
NPI Number | 1972854800 |
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Provider Enumeration Date | 10/02/2012 |
Last Update Date | 10/02/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972854800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW 800 (Wyoming) | Primary |
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