Jason Hendrik Uitterdyk, LPC

NPI #1235562018 in Laramie, Wyoming

Provider Information

NPI Number
1235562018
Entity Type
Individual
Name
Jason Hendrik Uitterdyk, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
LPC
Enumeration Date
Aug 15, 2013
Last Updated
Aug 15, 2013

Practice Location

Address
1465 N 4TH ST
Address 2
#119
State
Wyoming
ZIP Code
82072-2066
Phone
(307) 721-0700

Specialties & Taxonomy Codes

Specialty
Counselor

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