NPI 1457510950

Thomas D Concannon, LMFT

Practitioner Marriage & Family Therapist Jackson, WY

Practice location

Address: 510 S Cache, Jackson, WY 83001
Phone: (307) 733-6440
Fax: (307) 733-6374
Mailing address: PO Box 2631, Jackson, WY 83001-2631

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence LMFT 127 (WY)

Other Marriage & Family Therapist providers in Wyoming →

Registry record

NPI: 1457510950
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2008
Record last updated: 13 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.