Individual provider · Type 1 NPI
Jerry Tyrone Smith, PLPC
Mental Health Counselor · Cheyenne, WY
NPI number
1356965719
Active
Practice location
6818 Pasadena Rd
Cheyenne, WY 82009-2812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1154 (WY) |
Mental Health Counselor: Definition to come...
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About NPI 1356965719
Jerry Tyrone Smith, PLPC's National Provider Identifier is 1356965719, issued on Jun 2, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cheyenne, WY. The record was last updated on Jun 2, 2020.