Healthcare Provider Details

I. General information

NPI: 1063783389
Provider Name (Legal Business Name): WILLIAM JONAS TEMPANY LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2012
Last Update Date: 02/04/2020
Certification Date: 02/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 S 6
BASIN WY
82401
US

IV. Provider business mailing address

PO BOX 274
BURLINGTON WY
82411-0274
US

V. Phone/Fax

Practice location:
  • Phone: 307-213-9069
  • Fax:
Mailing address:
  • Phone: 808-315-1918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00112777
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1450
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: