Thekla Vonhagke, LPC

NPI 1881973345 · on the registry since 2011 · sole proprietor

Practice

Address: 610 W Broadway Ave
Suite L 1
Jackson, WY 83001
Phone: (307) 733-3908
Fax: (307) 733-0017
Organisation at this address: Rj Smiles, Llc
Bingham Endodontics, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: WY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming