| Wyoming Counseling Services Pc | |
|
902 N 8th West Riverton WY 82501-2332 | |
| (307) 857-3111 | |
| (307) 857-3848 |
| Full Name | Wyoming Counseling Services Pc |
|---|---|
| Speciality | Counselor |
| Location | 902 N 8th West, Riverton, Wyoming |
| Authorized Official Name and Position | Julie A House (OWNER) |
| Authorized Official Contact | 3078573111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Counseling Services Pc 902 N 8th West Po Box 1234 Riverton WY 82501-2332 Ph: (307) 857-3111 | Wyoming Counseling Services Pc 902 N 8th West Riverton WY 82501-2332 Ph: (307) 857-3111 |
| NPI Number | 1497855225 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Medicare PECOS PAC ID | 9931107117 |
|---|---|
| Medicare Enrollment ID | O20061122000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497855225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | WYOMING LPC #336 (Wyoming) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| Provider Name | Trent L House |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619234044 PECOS PAC ID: 3678729084 Enrollment ID: I20120816000885 |
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