Individual
MR. JEFFERY D PHARAOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV MSW RMHC
Contact information
Practice address
401 S 23RD ST, WORLAND, WY 82401-3725
(307) 347-6165
(307) 347-6166
Mailing address
401 S 23RD ST, WORLAND, WY 82401-3725
(307) 347-6165
(307) 347-6166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-1371
WY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/20/2007
Last updated
04/08/2014
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