David Demorest, LPC(WYOMING 1288)

NPI #1841541679 in Jackson, Wyoming

Provider Information

NPI Number: 1841541679
Entity Type: Individual
Name: David Demorest, LPC(WYOMING 1288)
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC(WYOMING 1288)
Enumeration Date: Sep 19, 2012
Last Updated: Dec 19, 2012

Practice Location

Address: 7520 PORCUPINE CREEK RD
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (307) 259-1865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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