Organization
MIND ON THE MEND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROBERT MARQUISS MSSA, LCSW (PARTNER)
(307) 258-0716
Entity
Organization
Contact information
Practice address
701 ANTLER DR STE 206, CASPER, WY 82601-1749
(307) 439-5588
Mailing address
701 ANTLER DR STE 206, CASPER, WY 82601-1749
(307) 439-5588
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
01/28/2025
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