Individual
LEANN M. DZEMSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. SC., LPC, ATR
Contact information
Practice address
690 S HWY 89 # 201, JACKSON, WY 83001-8508
(307) 231-2001
(307) 288-6056
Mailing address
PO BOX 11625, JACKSON, WY 83002-1625
(307) 231-2001
(307) 288-6056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-9991
ID
101YM0800X
Mental Health Counselor
Primary
LPC-2182
WY
221700000X
Art Therapist
—
—
Other
Enumeration date
10/31/2020
Last updated
04/04/2024
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