Organization · NPI-2

Evergreen Counseling

Clinic/Center, Mental Health (Including Community Mental Health Center) · Evanston, WY

NPI number1447842885
StatusActive
Last updated in NPPESFeb 8, 2021

Details

NPI
1447842885
Entity type
Organization (NPI-2)
Legal business name
Evergreen Counseling
Organization subpart
No
Enumeration date
Feb 8, 2021
Certification date
Feb 8, 2021
Last updated
Feb 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

724 Front St Ste 512
Evanston, WY 82930-3567

Phone 307-223-1959

Mailing address

130 Constitution Ave Apt 1
Evanston, WY 82930-3028

Phone 307-677-1685

Authorized official

Annette K. Christensen
Owner
3072231959

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Evanston, WY