Individual
MR. JAY MICHAEL MAHYLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3101 FITZPATRICK CT, GILLETTE, WY 82718-6232
(307) 686-5161
Mailing address
3101 FITZPATRICK CT, GILLETTE, WY 82718-6232
(307) 686-5161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
061
WY
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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