Organization
WYOMING WELLNESS LLP
Active
Organization
WYOMING WELLNESS LLP
Active
Other names
Wyoming Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E JUNKIN MA, LPC (GENERAL PARTNER)
(307) 631-4912
Entity
Organization
Contact information
Practice address
112 E. BRIDGE, SUITE G, SARATOGA, WY 82331
(307) 631-4912
Mailing address
518 MONTCLAIR DR, CHEYENNE, WY 82009-2717
(307) 631-4912
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1122
WY
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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