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Organization
HIGH COUNTRY BEHAVIORAL HEALTH
Active
Organization
HIGH COUNTRY BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON NIZER (CREDENTIALING SPECIALIST)
(307) 885-9888
Entity
Organization
Contact information
Practice address
905 S MAIN ST, LUSK, WY 82225-5208
(307) 358-2846
Mailing address
PO BOX 376, AFTON, WY 83110-0376
(307) 885-9883
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
08/16/2024
Last updated
04/22/2026
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