Organization
OPEN SPACE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WILLIAMS LPC (OWNER)
(307) 272-2534
Entity
Organization
Contact information
Practice address
956 12TH ST, CODY, WY 82414-3602
(307) 272-2534
Mailing address
956 12TH ST, CODY, WY 82414-3602
(307) 272-2534
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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