Individual provider · NPI-1
Jerry Lewis Alvin, CAP
Counselor, Addiction (Substance Use Disorder) · Cheyenne, WY
NPI number1356308951
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1356308951
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jerry Lewis Alvin
- Credential
- CAP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CAP046A | WY | Yes |
Practice location
2360 E Pershing BlvdCheyenne, WY 82001-5356
Phone 307-778-7550 · Fax 307-778-7393
Mailing address
2360 E Pershing BlvdCheyenne, WY 82001-5356
Phone 307-778-7550 · Fax 307-778-7393
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