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Organization

HIGH COUNTRY BEHAVIORAL HEALTH

Active
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Organization

HIGH COUNTRY BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIPP DANA LAT, LPC (EXECUTIVE DIRECTOR)
(307) 885-9883
Entity
Organization

Contact information

Practice address
14 MOUNTAIN ST, LYMAN, WY 82937
(307) 789-4224
Mailing address
PO BOX 376, AFTON, WY 83110-0376
(307) 885-9883

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL

Other

Enumeration date
05/21/2015
Last updated
11/03/2025
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