Organization
CEDAR RIDGE CHILD AND FAMILY COUNSELING
Active
Organization
CEDAR RIDGE CHILD AND FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA RANAE MILLER LCSW (OWNER)
(307) 258-6755
Entity
Organization
Contact information
Practice address
815 S CENTER ST, CASPER, WY 82601-3730
(307) 333-1301
(307) 333-5436
Mailing address
5727 S MOKI, CASPER, WY 82604-9102
(307) 258-6755
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/22/2016
Last updated
03/16/2020
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