Organization
KA SKATES, LLC
Active
Other names
Alliance Christian Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY SKATES MSW, LCSW (OWNER)
(307) 899-7439
Entity
Organization
Contact information
Practice address
147 COOPER LN E, CODY, WY 82414-9233
(307) 899-7439
Mailing address
147 COOPER LN E, CODY, WY 82414-9233
(307) 899-7439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCSW-1024
WY
101YP2500X
Professional Counselor
LCSW-1024
WY
1041C0700X
Clinical Social Worker
Primary
LCSW-1024
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131305301
—
WY
Enumeration date
05/11/2017
Last updated
05/11/2017
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