Uitterdyk, Jason Hendrik

Uitterdyk, Jason Hendrik is an sole proprietor health care provider with primary practice located at 1465 N 4Th St #119, Laramie WY 82072-2066. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Uitterdyk, Jason Hendrik can be contacted via phone (307) 721-0700.

Contact Information

Primary practice address
1465 N 4Th St #119 Laramie WY 82072-2066
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-1277 Wyoming

Profile Details

NPI number 1235562018
LBN Legal business name Uitterdyk, Jason Hendrik
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2013
Last updated Aug 15th, 2013 - about 13 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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