David Demorest's National Provider Identifier (NPI) Details
David Demorest, LPC(wyoming 1288)
NPI: 1841541679
Enumeration Date: 2012-09-19
Last updated: 2012-12-19
Sole Proprietor: YES
Status: active
Postal Address: 7520 PORCUPINE CREEK RD, JACKSON, WY
Phone: 307-259-1865
Primary Practice Address: P.O BOX 11390, 610 W BROADWAY,, JACKSON, WY
Practice's phone: 307-734-0017