Organization
FREMONT COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT HAYES (EXECUTIVE DIRECTOR)
(307) 332-2231
Entity
Organization
Contact information
Practice address
748 MAIN ST, LANDER, WY 82520-3036
(307) 332-2231
(307) 332-9338
Mailing address
748 MAIN ST, LANDER, WY 82520-3036
(307) 332-2231
(307) 332-9338
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W9054
MEDICARE ID- TYPE UNSPECIFIED
WY
Enumeration date
09/14/2011
Last updated
12/28/2015
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