Organization
WILD WILLOW THERAPY LLC
Active
Other names
Laura Mercer Wetzel
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA MERCER WETZEL MS (LICENSED PROFESSIONAL COUNSELOR)
(307) 381-6400
Entity
Organization
Contact information
Practice address
1022 DIVIDE ST, ROCK SPRINGS, WY 82901-4813
(307) 381-6400
Mailing address
1022 DIVIDE ST, ROCK SPRINGS, WY 82901-4813
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356716930
NPI
—
Enumeration date
01/16/2025
Last updated
01/16/2025
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