La Familia Counseling Services

NPI #1053771287 in Jackson, Wyoming

Provider Information

NPI Number: 1053771287
Entity Type: Organization
Organization Name: La Familia Counseling Services
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 1, 2016
Last Updated: Mar 1, 2016

Practice Location

Address: 140 E BROADWAY AVE STE B-13
City: Jackson
State: Wyoming
ZIP Code: 83001-8632
Phone: (307) 413-6528

Authorized Official

Name: DANIELA FRANCISCA PETERSON, LPC
Title: OWNER
Phone: (307) 413-6528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Counselor - Professional — Professional	101YP2500X	Primary

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