Organization
LA FAMILIA COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA FRANCISCA PETERSON LPC (OWNER)
(307) 413-6528
Entity
Organization
Contact information
Practice address
140 E BROADWAY AVE STE B-13, JACKSON, WY 83001-8632
(307) 413-6528
Mailing address
825 HI COUNTRY DR, JACKSON, WY 83001-9442
(307) 413-6528
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1071
WY
103T00000X
Psychologist
136
WY
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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