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-- DAVID DEMOREST -- LPC(wyoming 1288)

Individual Provider (NPI-1) Active

Counselor

Provider Information

NPI Number
1841541679
Provider Type
Individual Provider (NPI-1)
Credentials
LPC(wyoming 1288)
Status
Active

Contact & Location

Address
7520 PORCUPINE CREEK RD, JACKSON, WY, 83001
Phone
(307) 259-1865
Fax
(307) 200-0290

Specialties & Taxonomies

Counselor Primary License: WY #LPC 1288

All Addresses

LOCATION

7520 PORCUPINE CREEK RD

JACKSON, WY, 83001

(307) 259-1865

MAILING

P.O BOX 11390 610 W BROADWAY,

JACKSON, WY, 83002

(307) 734-0017