Individual provider · Type 1 NPI

David Demorest, LPC(WYOMING 1288)

Counselor · Jackson, WY

NPI number 1841541679 Active

Practice location

7520 Porcupine Creek Rd
Jackson, WY 83001

Call (307) 259-1865 Map

Fax (307) 200-0290

Mailing address

P.o Box 11390, 610 W Broadway,
Jackson, WY 83002

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC 1288 (WY)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1841541679

David Demorest, LPC(WYOMING 1288)'s National Provider Identifier is 1841541679, issued on Sep 19, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jackson, WY. The record was last updated on Dec 19, 2012.