Individual
JEFF C FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA,LPC
Contact information
Practice address
300 E 17TH ST, CHEYENNE, WY 82001-4608
(307) 631-9931
Mailing address
300 E 17TH ST, CHEYENNE, WY 82001-4608
(970) 310-7845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1417
WY
Other
Enumeration date
12/05/2005
Last updated
07/27/2020
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