IndividualActive
Mani Faez
NPI 1871037739 · Marriage & Family Therapist · Jackson, WY
Provider details
- NPI number
- 1871037739
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 89498 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
610 W Broadway Ave Ste L-1
Jackson, WY 83001-8213
Phone: (307) 733-3908
Fax: (307) 734-0017
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11390
Jackson, WY 83002-1390
Additional practice locations (1)
- 640 E Broadway AveJackson, WY 83001-8642Phone: (307) 733-2046Fax: (307) 733-6289
Registry dates
- Enumerated
- 2016-12-12
- Last updated
- 2022-06-30
- Certified
- 2022-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.