person
Mr. Jerry Tyrone Smith, PLPC
Mental Health Counselor in Cheyenne, Wyoming
NPI 1356965719

Jerry Tyrone Smith is a Mental Health Counselor based in Cheyenne, WY and is specialized in Mental Health. Jerry Tyrone Smith practices in Cheyenne, WY and has the professional credentials of PLPC. The NPI Number for Jerry Tyrone Smith is 1356965719 and holds a License No. 1154 (Wyoming).

The current practice location address for Jerry Tyrone Smith is 6818 Pasadena Rd, Cheyenne, WY and can be reached out via phone at 814-282-4045.

Location: 6818 Pasadena Rd, Cheyenne, WY, 82009-2812
person
Provider Profile Details
NPI Number
1356965719
Provider Name
Jerry Tyrone Smith
Credential
PLPC
Provider Entity Type
Individual
Gender
Male
Address
6818 Pasadena Rd, Cheyenne, WY, 82009-2812
Phone Number
814-282-4045
Fax Number
Provider Enumeration Date
06/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6818 Pasadena Rd
City
State
Zip
82009-2812
Phone Number
814-282-4045
Fax Number
person
Provider Business Mailing Address Details
Address
6818 Pasadena Rd
City
State
Zip
82009-2812
Phone Number
814-282-4045
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1154 (Wyoming)
Definition
Definition to come...
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