Soma Spirit Therapeutics LLC

NPI #1326726092 in Laramie, Wyoming

Provider Information

NPI Number: 1326726092
Entity Type: Organization
Organization Name: Soma Spirit Therapeutics LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 11, 2023
Last Updated: Jul 11, 2023

Practice Location

Address: 507 S 4TH ST STE B
City: Laramie
State: Wyoming
ZIP Code: 82070-3753
Phone: (307) 760-4775

Authorized Official

Name: MS. STEPHANIE JOYCE HANSON, MS, LPC
Title: OWNER
Phone: (307) 760-4775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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