Livermore, Jasen J

Livermore, Jasen J is an individual health care provider with primary practice located at 121 S 4Th St , Thermopolis WY 82443-2634. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Livermore, Jasen J can be contacted via phone (307) 864-3138.

Contact Information

Primary practice address
121 S 4Th St Thermopolis WY 82443-2634
Phone: (307) 864-3138
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-2245 Wyoming

Profile Details

NPI number 1568053700
LBN Legal business name Livermore, Jasen J
Credentials PPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2021
Last updated Mar 22nd, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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