SearchWyoming101YP2500X

Tanaya Jackson, LPC

NPI 1659558807 · on the registry since 2008 · sole proprietor

Practice

Address
5915 Thirty Three Mile Rd
Casper, WY 82604
Phone
(307) 760-6340

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-25

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