Individual
JESSICA SUE JAYCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 RIDGECREST DR, GILLETTE, WY 82718-6009
(307) 760-6219
Mailing address
3109 RIDGECREST DR, GILLETTE, WY 82718-6009
(307) 760-6219
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW-306
WY
1041C0700X
Clinical Social Worker
6801121272
MI
1041C0700X
Clinical Social Worker
Primary
LCSW-1466
WY
Other
Enumeration date
06/14/2019
Last updated
04/19/2026
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