Organization
ALLIANCE CHRISTIAN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ERICKSON MA, LPC (PROPRIETOR, LPC)
(307) 250-7522
Entity
Organization
Contact information
Practice address
147 COOPER LN E, CODY, WY 82414-9233
(307) 250-7522
Mailing address
27 JUSTICE LN, CODY, WY 82414-8253
(307) 250-7522
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-1145
WY
101YM0800X
Mental Health Counselor
Primary
LPC-1145
WY
101YP2500X
Professional Counselor
LPC-1145
WY
104100000X
Social Worker
PCSW-605
WY
1041C0700X
Clinical Social Worker
PCSW-605
WY
251S00000X
Community/Behavioral Health Agency
LPC-1145
WY
Other
Enumeration date
06/08/2015
Last updated
07/30/2015
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