| Willow Tree Therapy | |
|
100 Warren Ave Gillette WY 82716-3728 | |
| (307) 682-2034 | |
| Not Available |
| Full Name | Willow Tree Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 Warren Ave, Gillette, Wyoming |
| Authorized Official Name and Position | Polly J Akins (OWNER) |
| Authorized Official Contact | 3076822034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Therapy 100 Warren Ave Gillette WY 82716-3728 Ph: (307) 682-2034 | Willow Tree Therapy 100 Warren Ave Gillette WY 82716-3728 Ph: (307) 682-2034 |
| NPI Number | 1144722059 |
|---|---|
| Provider Enumeration Date | 03/06/2018 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144722059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC (Wyoming) | Primary |
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