Wild Willow Therapy LLC

NPI #1851102123 in Rock Springs, Wyoming

Provider Information

NPI Number
1851102123
Entity Type
Organization
Organization Name
Wild Willow Therapy LLC
Primary Specialty
Counselor
Enumeration Date
Jan 16, 2025
Last Updated
Jan 16, 2025

Practice Location

Address
1022 DIVIDE ST
State
Wyoming
ZIP Code
82901-4813
Phone
(307) 381-6400

Authorized Official

Name
MRS. LAURA MERCER WETZEL, MS
Title
LICENSED PROFESSIONAL COUNSELOR
Phone
(307) 381-6400

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)
Counselor

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