Individual
MR. JEREMIAH ROBERT VOLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-691
Contact information
Practice address
500 S WOLCOTT ST STE 103, CASPER, WY 82601-2882
(307) 333-5370
(307) 333-5371
Mailing address
500 S WOLCOTT ST STE 103, CASPER, WY 82601-2882
(307) 333-5370
(307) 333-5371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-691
WY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
LAT-356
WY
Other
Enumeration date
01/06/2009
Last updated
11/12/2021
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