Organization
WILLOW CREEK COUNSELING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULI K WALLIN-FISGUS MSW LCSW (CO OWNER)
(307) 751-9090
Entity
Organization
Contact information
Practice address
2161 COFFEEN AVE STE 401, SHERIDAN, WY 82801-5771
(307) 751-9090
Mailing address
245 BROADWAY, STE 11, PO BOX 6650, SHERIDAN, WY 82801
(307) 751-9090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW 816
WY
Other
Enumeration date
03/12/2015
Last updated
06/02/2020
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