Gateway Counseling Center | |
1102 Beck Ave Cody WY 82414-3624 | |
(307) 587-8889 | |
Not Available |
Full Name | Gateway Counseling Center |
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Speciality | Counselor |
Location | 1102 Beck Ave, Cody, Wyoming |
Authorized Official Name and Position | Larry J Andrews (COUNSELOR, OWNER) |
Authorized Official Contact | 3075878889 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gateway Counseling Center 18 John Wayne Ln Powell WY 82435-9469 Ph: (307) 272-8880 | Gateway Counseling Center 1102 Beck Ave Cody WY 82414-3624 Ph: (307) 587-8889 |
NPI Number | 1023144201 |
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Provider Enumeration Date | 02/24/2007 |
Last Update Date | 07/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023144201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LPC352 (Wyoming) | Primary |
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