Individual
JACOB HEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPC-1473
Contact information
Practice address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Mailing address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/22/2024
Last updated
06/26/2024
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