IndividualActive
Christopher Moll
NPI 1205301165 · Mental Health Counselor · Jackson, WY
Provider details
- NPI number
- 1205301165
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- LCSW436 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
510 S Cache St
Jackson, WY 83001-8693
Phone: (307) 733-7946
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2631
Jackson, WY 83001-2631
Registry dates
- Enumerated
- 2018-10-08
- Last updated
- 2018-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.