Individual
BROOKE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1527 RUMSEY AVE, CODY, WY 82414-3813
(307) 578-7770
Mailing address
1825 29TH ST, CODY, WY 82414-9704
(208) 830-7203
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PPC-1558
WY
Other
Enumeration date
05/08/2024
Last updated
06/23/2025
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