Organization
SOUTHERN WYOMING COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN LARSEN (ADMIN/BILLING)
(801) 949-1447
Entity
Organization
Contact information
Practice address
1007 JADE DR # C, HANNA, WY 82327-5056
(435) 232-4493
Mailing address
PO BOX 791, HANNA, WY 82327-0791
(435) 232-4493
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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