Organization
LIVINGWATER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JOAN KORNKVEN LPC (PRESIDENT)
(307) 333-3060
Entity
Organization
Contact information
Practice address
411 S WALSH DR, CASPER, WY 82609-2306
(307) 336-3770
Mailing address
5311 S DAVID ST, CASPER, WY 82601-6339
(307) 333-3060
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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