Organization
SOUTHWEST COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL WILLIAM MICHAEL PPC (MENTAL HEALTH COUNSELOR)
(307) 352-6677
Entity
Organization
Contact information
Practice address
1124 COLLEGE DR, ROCK SPRINGS, WY 82901-5863
(307) 352-6677
Mailing address
1124 COLLEGE DR, ROCK SPRINGS, WY 82901-5863
(307) 652-6677
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101YM0000X
WY
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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