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Organization

BIG HORN BASIN COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AUTUMN MARIE SNYDER (ADMINISTRATIVE ASSISTANT)
(307) 548-6543
Entity
Organization

Contact information

Practice address
116 SOUTH 3RD, BASIN, WY 82410
(307) 568-2020
(307) 568-2503
Mailing address
1114 LANE 12, LOVELL, WY 82431-9555
(307) 548-6543
(307) 548-6565

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106515700
WY
05
106515701
WY
05
106515702
WY
05
106515703
WY
05
106515705
WY
05
106515706
WY
Enumeration date
01/19/2007
Last updated
10/29/2015
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