| Living Well Counseling Llc | |
|
1301 S Wisconsin Ave. Casper WY 82609-2936 | |
| (307) 472-5433 | |
| (307) 337-3705 |
| Full Name | Living Well Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1301 S Wisconsin Ave., Casper, Wyoming |
| Authorized Official Name and Position | Corey Wentz (COUNSELOR) |
| Authorized Official Contact | 3072353333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Counseling Llc Po Box 552 Casper WY 82602-0552 Ph: (307) 797-4683 | Living Well Counseling Llc 1301 S Wisconsin Ave. Casper WY 82609-2936 Ph: (307) 472-5433 |
| NPI Number | 1033484118 |
|---|---|
| Provider Enumeration Date | 03/21/2012 |
| Last Update Date | 03/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033484118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC817 (Wyoming) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LAT286 (Wyoming) | Secondary |
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