Organization
BLUE SKY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA M HERON LCSW (CLINICIAN DIRECTOR)
(307) 851-3955
Entity
Organization
Contact information
Practice address
1018 EASTVIEW DR, RIVERTON, WY 82501-2616
(307) 851-3955
Mailing address
625 E MADISON AVE STE 6, RIVERTON, WY 82501-4712
(307) 851-3955
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LCSW
WY
251S00000X
Community/Behavioral Health Agency
Primary
LCSW
WY
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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