Individual
MS. THEKLA MARGARET VONHAGKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
610 W BROADWAY AVE, SUITE L 1, JACKSON, WY 83001-8213
(307) 733-3908
(307) 733-0017
Mailing address
PO BOX 11390, 610 W. BROADWAY, SUITE L 1, JACKSON, WY 83002-1390
(307) 733-3908
(307) 733-0017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 408
WY
Other
Enumeration date
08/15/2011
Last updated
04/29/2013
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