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Organization

BRIDGES HABILITATION SERVICES, INC.

Active
Other names
Bridges
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID M CANEN (CEO)
(307) 789-0664
Entity
Organization

Contact information

Practice address
400 S KENDRICK AVE, SUITE 101, GILLETTE, WY 82716-3848
(307) 682-1261
Mailing address
PO BOX 1642, EVANSTON, WY 82931-1642
(307) 789-0664
(307) 789-1902

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1336
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245305804
WY
Enumeration date
01/23/2014
Last updated
10/13/2015
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