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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