Mountain Therapy PLLC
Counselor, Professional in Jackson, WY. Organization (NPI-2).
NPI number1336588672
StatusActive
Last updated in NPPESSep 20, 2013
Details
- NPI
- 1336588672
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountain Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2013
- Last updated
- Sep 20, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC-1357 | WY | Yes |
Practice location
555 E Broadway AveSuite 216
Jackson, WY 83001-8640
Phone 404-483-2555
Mailing address
Po Box 2019Jackson, WY 83001-2019
Phone 404-483-2555
Authorized official
Lorraine Steinheimer
Owner
4044832555
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