Zion Mountains

NPI #1861366270 in Cody, Wyoming

Provider Information

NPI Number: 1861366270
Entity Type: Organization
Organization Name: Zion Mountains
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 30, 2025
Last Updated: Sep 30, 2025

Practice Location

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

Authorized Official

Name: JASEN J LIVERMORE, LPC
Title: PRESIDENT
Phone: (307) 355-9266

Specialties & Taxonomy Codes

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

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