MR. JERRY LEWIS ALVIN CAP
Addiction Substance Use Disorder
Cheyenne, Wyoming
Provider NPI: 1356308951
Provider Information:MR. JERRY LEWIS ALVIN CAP
Gender: M
Practice Location:
2360 E PERSHING BLVD CHEYENNE, WY 82001 US
Tel: 307-778-7550 Fax: 307-778-7393
Business Mailing Address:
2360 E PERSHING BLVD CHEYENNE, WY 82001 US
Tel: 307-778-7550 Fax: 307-778-7393
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | WY | CAP046A |
ADDICTION JOBS WY - Page 1
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