person
Jasen J Livermore, PPC
Professional Counselor in Thermopolis, Wyoming
NPI 1568053700

Jasen J Livermore is a Professional Counselor based in Thermopolis, WY and is specialized in Professional. Jasen J Livermore practices in Thermopolis, WY and has the professional credentials of PPC. The NPI Number for Jasen J Livermore is 1568053700 and holds a License No. LPC-2245 (Wyoming).

The current practice location address for Jasen J Livermore is 121 S 4Th St, Thermopolis, WY and can be reached out via phone at 307-864-3138. You can also correspond with Jasen J Livermore through the mailing address at 121 S 4TH ST, THERMOPOLIS, WY - 82443-2634 (mailing address contact number: 307-864-3138).

Location: 121 S 4Th St, Thermopolis, WY, 82443-2634
person
Provider Profile Details
NPI Number
1568053700
Provider Name
Jasen J Livermore
Credential
PPC
Provider Entity Type
Individual
Gender
Male
Address
121 S 4Th St, Thermopolis, WY, 82443-2634
Phone Number
307-864-3138
Fax Number
Provider Enumeration Date
01/31/2021
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
121 S 4Th St
City
State
Zip
82443-2634
Phone Number
307-864-3138
Fax Number
person
Provider Business Mailing Address Details
Address
121 S 4Th St
City
State
Zip
82443-2634
Phone Number
307-864-3138
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-2245 (Wyoming)
Definition
Definition to come...
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