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Mr. Jonathan Blake Vardell, LPC
Counselor in Cody, Wyoming
NPI 1841637923

Jonathan Blake Vardell is a Counselor based in Cody, WY. Jonathan Blake Vardell practices in Cody, WY and has the professional credentials of LPC. The NPI Number for Jonathan Blake Vardell is 1841637923 and holds a License No. 1453 (Wyoming).

The current practice location address for Jonathan Blake Vardell is 1735 Sheridan Ave, Cody, WY and can be reached out via phone at 307-899-5456 and via fax at 307-527-6218. You can also correspond with Jonathan Blake Vardell through the mailing address at 1735 SHERIDAN AVE, CODY, WY - 82414-3855 (mailing address contact number: 307-899-5456).

Location: 1735 Sheridan Ave, Cody, WY, 82414-3855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841637923
Provider Name
Jonathan Blake Vardell
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1735 Sheridan Ave, Cody, WY, 82414-3855
Phone Number
307-899-5456
Fax Number
307-527-6218
Provider Enumeration Date
05/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1735 Sheridan Ave
City
Cody
State
Wyoming
Zip
82414-3855
Phone Number
307-899-5456
Fax Number
307-527-6218
person
Provider Business Mailing Address Details
Address
1735 Sheridan Ave
City
Cody
State
Wyoming
Zip
82414-3855
Phone Number
307-899-5456
Fax Number
307-527-6218
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1453 (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.
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