Individual
JESSICA ROTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
136 W 21ST AVE, TORRINGTON, WY 82240-2721
(307) 331-4043
Mailing address
136 W 21ST AVE, TORRINGTON, WY 82240-2721
(307) 331-4043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1257
WY
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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