Organization
THE CLINIC FOR MENTAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA NESSLINGER (COUNSELOR)
(307) 755-1000
Entity
Organization
Contact information
Practice address
504 SOUTH 4TH STREET, LARAMIE, WY 82070
(307) 755-1000
Mailing address
504 S 4TH ST, LARAMIE, WY 82070-3704
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-992
WY
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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