Individual
JASON M REASOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 COUNTRY CLUB LN., PINEDALE, WY 82941
(307) 367-2111
(307) 367-2166
Mailing address
PO BOX 856, PINEDALE, WY 82941-0856
(307) 367-2111
(307) 367-2166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1117
WY
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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