Individual
TIMOTHY PETER JURKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
507 E 18TH ST, CHEYENNE, WY 82001-4617
(307) 365-0285
(307) 635-3965
Mailing address
520 E 18TH ST, CHEYENNE, WY 82001-4618
(307) 638-4625
(307) 635-3965
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1236
WY
Other
Enumeration date
09/20/2010
Last updated
07/10/2014
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