Organization
WELLNESS ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER TAD CLARK M.ED. NCC LPC (PRESIDENT)
(307) 630-3466
Entity
Organization
Contact information
Practice address
1471 DEWAR DR # 204, ROCK SPRINGS, WY 82901-5814
(307) 630-3466
Mailing address
1471 DEWAR DR # 204, ROCK SPRINGS, WY 82901-5814
(307) 630-3466
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1198
WY
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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