MARY SUE JACQUES MSW LCSW LAT NPI 1699912105

NPI Information

Mary Sue Jacques, MSW LCSW LAT is a counselor in Casper, WY. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Mary Sue Jacques, MSW LCSW LAT NPI is 1699912105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1430 WILKINS CIRCLE
CASPER, WY
ZIP 82601
Phone: (307) 237-9583
Fax: (307) 265-7277

The enumeration date for this NPI number is 1/21/2009 and was last updated on 1/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.