Jasen J Livermore, PPC | |
121 S 4th St, Thermopolis, WY 82443-2634 | |
(307) 864-3138 | |
Not Available |
Full Name | Jasen J Livermore |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 121 S 4th St, Thermopolis, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568053700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC-2245 (Wyoming) | Primary |
Entity Name | High Country Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457472748 PECOS PAC ID: 0648454587 Enrollment ID: O20110418000512 |
Mailing Address | Practice Location Address |
---|---|
Jasen J Livermore, PPC 121 S 4th St, Thermopolis, WY 82443-2634 Ph: (307) 864-3138 | Jasen J Livermore, PPC 121 S 4th St, Thermopolis, WY 82443-2634 Ph: (307) 864-3138 |
Kevin Bentch, STUDENT Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S 4th St, Thermopolis, WY 82443 Phone: 307-864-3138 Fax: 307-864-3139 | |
Allan P Braaten, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S 4th St, Thermopolis, WY 82443 Phone: 307-864-3138 Fax: 307-864-3139 | |
Catherine J Crumpler, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 148 E Arapahoe St, Thermopolis, WY 82443 Phone: 307-921-3667 | |
Micki M Schmidt, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S 4th St, Thermopolis, WY 82443 Phone: 307-864-3138 Fax: 307-864-3139 | |
Mr. Joseph B. Stringer, LPC, CAP, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S 4th St, Thermopolis, WY 82443 Phone: 307-864-3138 Fax: 307-864-3139 | |
Jenny Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S 4th St, Thermopolis, WY 82443 Phone: 307-864-3138 Fax: 307-864-3139 |