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Mr. Jeffery D Pharaoh, MDIVMSWRMHC
Counselor in Worland, Wyoming
NPI 1558542498

Jeffery D Pharaoh is a Counselor based in Worland, WY. Jeffery D Pharaoh practices in Worland, WY and has the professional credentials of MDIVMSWRMHC. The NPI Number for Jeffery D Pharaoh is 1558542498 and holds a License No. (Wyoming).

The current practice location address for Jeffery D Pharaoh is 401 S 23Rd St, Worland, WY and can be reached out via phone at 307-347-6165 and via fax at 307-347-6166. You can also correspond with Jeffery D Pharaoh through the mailing address at 401 S 23RD ST, WORLAND, WY - 82401-3725 (mailing address contact number: 307-347-6165).

Location: 401 S 23Rd St, Worland, WY, 82401-3725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558542498
Provider Name
Jeffery D Pharaoh
Credential
MDIVMSWRMHC
Provider Entity Type
Individual
Gender
Male
Address
401 S 23Rd St, Worland, WY, 82401-3725
Phone Number
307-347-6165
Fax Number
307-347-6166
Provider Enumeration Date
11/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 S 23Rd St
City
Worland
State
Wyoming
Zip
82401-3725
Phone Number
307-347-6165
Fax Number
307-347-6166
person
Provider Business Mailing Address Details
Address
401 S 23Rd St
City
Worland
State
Wyoming
Zip
82401-3725
Phone Number
307-347-6165
Fax Number
307-347-6166
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC-1371 (Wyoming)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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