Individual
JERUSHA DOVE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
1471 DEWAR DR STE 232, ROCK SPRINGS, WY 82901-5885
(307) 352-9161
Mailing address
1471 DEWAR DR STE 232, ROCK SPRINGS, WY 82901-5885
(307) 352-9161
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PPC-1152
WY
Other
Enumeration date
02/11/2021
Last updated
04/13/2023
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