Organization
SACRED HEART COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE KOSTREY MA, NCC, LPC (SOLE MANAGING MEMBER)
(307) 772-1734
Entity
Organization
Contact information
Practice address
2315 DUNN AVE, CHEYENNE, WY 82001-3214
(307) 772-1734
Mailing address
PO BOX 1977, LARAMIE, WY 82073-1977
(307) 772-1734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1542
WY
Other
Enumeration date
08/06/2016
Last updated
08/12/2016
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