SearchWyoming101YP2500X

Jasen Livermore, LPC

NPI 1568053700 · on the registry since 2021

Practice

Address
956 12th St
Cody, WY 82414
Phone
(307) 355-9266
Organisation at this address
Zion Mountains
Amanda Roth, Llc
Rocky Mountain Family Dental
Open Space Counseling Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming