# STILLWATERS COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063729598
- **Authorized official:** LISA L. JORDAN MSW, LCSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (307) 431-1317

## Contact information

- **Practice address:** 316 N 10TH ST, WORLAND, WY 82401-2307
- **Practice address phone:** (307) 431-1317
- **Mailing address:** 408 S 23RD ST, WORLAND, WY 82401-3725
- **Mailing address phone:** (307) 431-1317
- **Mailing address fax:** (307) 347-2428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | LCSW-451 | WY | Yes |

## Other

- **Enumeration date:** 09/03/2010
- **Last updated:** 09/03/2010