Individual provider · Type 1 NPI

Jamaica Santos Moulton, LPC

Professional Counselor · Cody, WY

NPI number 1326474156 Active

Practice location

337 Robert St
Cody, WY 82414-9268

Call (307) 899-2492 Map

Mailing address

PO Box 2772
Cody, WY 82414-2772

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XPPC-781 (WY)
Professional Counselor Primary 101YP2500XWY-1490 (WY)
Community Health Worker 172V00000XPPC-781 (WY)

Professional Counselor: Definition to come...

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About NPI 1326474156

Jamaica Santos Moulton, LPC's National Provider Identifier is 1326474156, issued on Sep 25, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cody, WY. The record was last updated on May 22, 2024.