Pharaoh, Jeffery D
Pharaoh, Jeffery D is an individual health care provider with primary practice located at 401 S 23Rd St , Worland WY 82401-3725. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Pharaoh, Jeffery D can be contacted via phone (307) 347-6165.Contact Information
Primary practice address
401 S 23Rd St
Worland WY 82401-3725
Phone: (307) 347-6165
Fax: (307) 347-6166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC-1371 | Wyoming |
Profile Details
| NPI number | 1558542498 |
|---|---|
| LBN Legal business name | Pharaoh, Jeffery D |
| Credentials | MDIV MSW RMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2007 |
| Last updated | Apr 8th, 2014 - about 12 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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