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CLEAR CREEK COMPANY LLC

Marriage and Family Therapist

Buffalo, Wyoming

Provider NPI: 1679027155

Organization Information:
Organization Name:  CLEAR CREEK COMPANY LLC
Organization is not Subpart
Authorized Official:  ADELAIDE  WILSON  OWNER MEMBER  307-3378247

Practice Location:
63 N BURRITT AVE  BUFFALO, WY 82834 US
Tel: 307-337-8247  Fax: --

Business Mailing Address:
PO BOX 69  BUFFALO, WY 82834 US
Tel: 307-337-8247  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
WY145

Other Provider Identifiers:

IssuerNumberStateType
136274700WY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







MARRIAGE FAMILY THERAPIST JOBS WY - Page 1

1 Counselor Gillette, WY, USA LPC, LPSW, LMFT or Licensed Mental Health Professional. WY Mental Health Professions License, BLS.... Apply Now>>



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