Organization
HEALING TREE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SUSAN CRUICKSHANK LPC (OWNER)
(307) 215-1204
Entity
Organization
Contact information
Practice address
135 W 9TH ST, CASPER, WY 82601-3722
(307) 215-1204
(307) 215-1204
Mailing address
135 W 9TH ST, CASPER, WY 82601-3722
(307) 215-1204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-1625
WY
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144332100
—
WY
Enumeration date
08/30/2016
Last updated
03/23/2021
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