Organization
BUFFALO RIDGE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY JAMES BENNETT LAT (OWNER/DIRECTOR)
(307) 254-0007
Entity
Organization
Contact information
Practice address
1901 ENERGY CT STE 170, GILLETTE, WY 82718-5574
(307) 254-0007
Mailing address
3105 GOLDENROD AVE, GILLETTE, WY 82716-2287
(307) 254-0007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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