Jasen J Livermore, LPC

NPI #1568053700 in Cody, Wyoming

Provider Information

NPI Number: 1568053700
Entity Type: Individual
Name: Jasen J Livermore, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jan 31, 2021
Last Updated: Sep 30, 2025

Practice Location

Address: 956 12TH ST
City: Cody
State: Wyoming
ZIP Code: 82414-3602
Phone: (307) 355-9266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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