Organization Name: | CONNECTIONS COUNSELING INC |
NPI Number: | 1134587306 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERRY RYAN BURTON (PRESIDENT) |
Mailing Address: | 100 W 10th St Lovell |
State: | WY US |
Postal Code: | 824311863 |
Phone Number: | 3072724972 |
Fax Number: | 3075482200 |
NPI Enumeration Date: | 02/03/2016 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC-1028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |