Organization
ZION MOUNTAINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASEN J LIVERMORE LPC (PRESIDENT)
(307) 355-9266
Entity
Organization
Contact information
Practice address
956 12TH ST, CODY, WY 82414-3602
(307) 355-9266
Mailing address
956 12TH ST, CODY, WY 82414-3602
(307) 355-9266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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