Individual
THOMAS D CONCANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
510 S CACHE, JACKSON, WY 83001
(307) 733-6440
(307) 733-6374
Mailing address
PO BOX 2631, JACKSON, WY 83001-2631
(307) 733-6440
(307) 733-6374
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 127
WY
Other
Enumeration date
06/09/2008
Last updated
12/13/2012
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