Moulton, Jamaica Santos

Moulton, Jamaica Santos is an sole proprietor health care provider with primary practice located at 337 Robert St , Cody WY 82414-9268. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Moulton, Jamaica Santos can be contacted via phone (307) 899-2492.

Contact Information

Primary practice address
337 Robert St Cody WY 82414-9268
Phone: (307) 899-2492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X PPC-781 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X WY-1490 Wyoming
Other Service Providers / Community Health Worker 172V00000X PPC-781 Wyoming

Profile Details

NPI number 1326474156
LBN Legal business name Moulton, Jamaica Santos
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2013
Last updated May 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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