Doctor Name: | MS. REBECCA TRAVIS GAY |
NPI Number: | 1518339142 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCSW |
License Number: | PCSW-653 |
Business Practice Address: | 480 S Cache St Jackson, WY - 830018222 |
Business Phone Number: | 3077346040 |
Business Fax Number: | |
Mailing Address: | 480 S Cache St, Po Box 2299 JACKSON |
State: | WY |
Postal Code: | 830018222 |
Phone Number: | 3077346040 |
Fax Number: | |
NPI Enumeration Date: | 10/22/2015 |
NPI Last Update Date: | 10/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | PCSW-653 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |