| Wild Rose Counseling Llc | |
|
215 Bucklick Creek Rd Minford OH 45653-8882 | |
| (740) 978-8526 | |
| Not Available |
| Full Name | Wild Rose Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 215 Bucklick Creek Rd, Minford, Ohio |
| Authorized Official Name and Position | Kasey Benthin-staley (OWNER) |
| Authorized Official Contact | 7404021142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Rose Counseling Llc Po Box 806 Jackson OH 45640-0806 Ph: (740) 978-8526 | Wild Rose Counseling Llc 215 Bucklick Creek Rd Minford OH 45653-8882 Ph: (740) 978-8526 |
| NPI Number | 1417798778 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417798778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |