| Organization Name: | CLEAR CREEK COUNSELING LLC |
| NPI Number: | 1083937486 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALE F. OEDEKOVEN (CO-OWNER) |
| Mailing Address: | 801 E. 4th St. Suite 24 Gillette |
| State: | WY US |
| Postal Code: | 82716 |
| Phone Number: | 3076869422 |
| Fax Number: | 3076863833 |
| NPI Enumeration Date: | 03/12/2010 |
| NPI Last Update Date: | 04/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LPC540 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |