Organization
MOUNTAINS EDGE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER B JONES-ROBINSON LPC, LAT,MAC (OWNER)
(307) 673-4647
Entity
Organization
Contact information
Practice address
406 W LOUCKS ST, SHERIDAN, WY 82801-4129
(307) 673-4647
(307) 674-1724
Mailing address
406 W LOUCKS ST, SHERIDAN, WY 82801-4129
(307) 673-4647
(307) 674-1724
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC - 790
WY
252Y00000X
Early Intervention Provider Agency
LPC 790
WY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
LPC - 790
WY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
LAT - 294
WY
3245S0500X
Children's Substance Abuse Rehabilitation Facility
LPC-790
WY
Other
Enumeration date
07/17/2009
Last updated
02/20/2013
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