Organization
CASPER FAMILY CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLEA COULTER (EXECUTIVE DIRECTOR)
(307) 233-2200
Entity
Organization
Contact information
Practice address
500 S WOLCOTT ST STE 102, CASPER, WY 82601-2882
(307) 233-2200
Mailing address
500 S WOLCOTT ST STE 102, CASPER, WY 82601-2882
(307) 233-2200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
10/12/2020
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