The Clinic for Mental Health & Wellness

NPI #1093005803 in Laramie, Wyoming

Provider Information

NPI Number: 1093005803
Entity Type: Organization
Organization Name: The Clinic for Mental Health & Wellness
Primary Specialty: Counselor
Enumeration Date: Apr 13, 2011
Last Updated: Apr 13, 2011

Practice Location

Address: 504 S 4TH ST
City: Laramie
State: Wyoming
ZIP Code: 82070-3704
Phone: (307) 755-1000

Authorized Official

Name: MS. MARTHA NESSLNGER, MA, LPC
Title: LICENSED PROFESSIONAL COUNSELOR
Phone: (307) 755-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X

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