| Counseling And Play Therapy Center | |
|
140 S Main St Buffalo WY 82834-1846 | |
| (307) 217-2161 | |
| (307) 684-9037 |
| Full Name | Counseling And Play Therapy Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 140 S Main St, Buffalo, Wyoming |
| Authorized Official Name and Position | Rose Maude Harriet (OWNER) |
| Authorized Official Contact | 3072172161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Play Therapy Center 427 N Adams Ave Buffalo WY 82834-1712 Ph: () - | Counseling And Play Therapy Center 140 S Main St Buffalo WY 82834-1846 Ph: (307) 217-2161 |
| NPI Number | 1568706125 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 11/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568706125 | NPI | - | NPPES |
| 1124268354 | Other | NPI | |
| 1740597913 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 807 (Wyoming) | Primary |
| 101YP2500X | Counselor - Professional | 1139 (Wyoming) | Secondary |
Kellie J Jensen Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 Fort St, Buffalo, WY 82834 Phone: 307-217-1311 Fax: 307-684-2182 | |
Counseling And Play Therapy Center Of Wyoming, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 S Main St, Buffalo, WY 82834 Phone: 307-620-1507 | |
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