Individual
JAMIE GRUNSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 E GRAND AVE STE 402, LARAMIE, WY 82070-4388
(307) 302-0350
Mailing address
2020 E GRAND AVE STE 402, LARAMIE, WY 82070-4388
(307) 302-0350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1409
WY
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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