Organization
LIVING WELL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COREY WENTZ MS LPC LAT (COUNSELOR)
(307) 235-3333
Entity
Organization
Contact information
Practice address
1301 S WISCONSIN AVE., CASPER, WY 82609-2936
(307) 472-5433
(307) 337-3705
Mailing address
PO BOX 552, CASPER, WY 82602-0552
(307) 797-4683
(307) 337-3705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC817
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAT286
WY
Other
Enumeration date
03/21/2012
Last updated
03/11/2016
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