Mr. Jerry Tyrone Smith, PLPC
Mr. Jerry Tyrone Smith, PLPC is a Mental Health Counselor in Cheyenne, Wyoming. Licensed in Wyoming. Registered with an NPI since 2020.
- Licensed in
- WY
- In the registry since
- 2020
Practice location Address checks out
6818 Pasadena RdCheyenne, WY 82009-2812
Phone: (814) 282-4045
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 1154 (WY) |
|---|
Record details
| NPI number | 1356965719 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PLPC |
| Sole proprietor | No |
| NPI enumerated | June 2, 2020 |
| Last updated in NPPES | June 2, 2020 |
| Certification date | June 2, 2020 |
| Mailing address | 6818 Pasadena Rd, Cheyenne, WY 82009-2812 |
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