# CLEAR CREEK COMPANY LLC

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

## Provider details

- **NPI number:** 1679027155
- **Authorized official:** ADELAIDE WILSON (OWNER MEMBER)
- **Authorized official phone:** (307) 337-8247

## Contact information

- **Practice address:** 63 N BURRITT AVE, BUFFALO, WY 82834-1868
- **Practice address phone:** (307) 337-8247
- **Mailing address:** PO BOX 69, BUFFALO, WY 82834-0069
- **Mailing address phone:** (307) 337-8247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 145 | WY | Yes |

## Other

- **Enumeration date:** 08/12/2016
- **Last updated:** 08/12/2016
