Organization
CURRAN SEELEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MANI FAEZ LMFT (CLINICAL SUPERVISOR)
(307) 733-3908
Entity
Organization
Contact information
Practice address
610 WEST BROADWAY SUITE L1, JACKSON, WY 83002-1390
(307) 733-3908
(307) 734-0017
Mailing address
PO BOX 11390, 610 WEST BROADWAY SUITE L1, JACKSON, WY 83002-1390
(307) 733-3908
(307) 734-0017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
384
WY
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/24/2009
Last updated
03/22/2022
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