Individual
JEFF DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
555 E BROADWAY AVE STE 204, JACKSON, WY 83001-8640
(307) 699-3077
Mailing address
PO BOX 418, DRIGGS, ID 83422-2612
(307) 699-3077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC1104
WY
Other
Enumeration date
03/20/2007
Last updated
12/28/2023
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