Individual
MR. JAMES W. DEMSHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT #258
Contact information
Practice address
4025 RAWLINS ST., CHEYENNE, WY 82001
(307) 426-4797
(307) 426-4799
Mailing address
2508 E FOX FARM RD, STE 1A, CHEYENNE, WY 82007-2559
(307) 635-3618
(307) 635-1442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MA, LAT-258
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAT-258
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
MA, LAT-258
WY
101YM0800X
Mental Health Counselor
MA, LAT-258
WY
101YM0800X
Mental Health Counselor
MA,LAT#258
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134759400
—
WY
Enumeration date
05/01/2007
Last updated
09/13/2016
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