| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. MAC Curtis E Cretal |
Individual |
140 E Broadway Ste #25 Jackson, WY |
|
|
LCSW Trudylynn Birkemeyer Funk |
Individual |
610 W. Broadway Suites Suite L1 Jackson, WY |
|
|
DR. PHD Dom Wilks |
Individual |
610 W. Broadway Suites Suite L1 Jackson, WY |
|
|
LCSW Eddie Ryan |
Individual |
610 W. Broadway Suites Suite L1 Jackson, WY |
|
|
Ed J. Wigg |
Individual |
610 W. Broadway Suite L1 Jackson, WY |
|
|
LAT Robert Bragg |
Individual |
610 W Broadway Ave Ste L1 Jackson, WY |
|
|
PROVISIONAL Anne Ellingson |
Individual |
610 W Broadway Ave Suite L1 Jackson, WY |
|
|
MS. MA, LAT Cheryl Ann Renzulli |
Individual |
1115 Maple Way Suite C Jackson, WY |
|
|
LPC Ryan Burke |
Individual |
610 W Broadway Ave Ste L1 Jackson, WY |
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 101YA0400X |
| Specialization | Addiction (Substance Use Disorder) |
| Display Name | Addiction (Substance Use Disorder) Counselor |
| Taxonomy Group | Behavioral Health & Social Service Providers |
| Taxonomy Classification | Counselor |
| Definition | Definition to come... |
| Effective Date | September 30, 2009 |