Anne Ellingson, PROVISIONAL
Anne Ellingson, PROVISIONAL is an Addiction (Substance Use Disorder) Counselor in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2015.
- Licensed in
- WY
- In the registry since
- 2015
Practice location Address checks out
610 W Broadway Ave Ste L1Jackson, WY 83001-8213
Phone: (307) 733-3908
Fax: (307) 734-0017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence PAT-073 (WY) |
|---|
Record details
| NPI number | 1841665668 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PROVISIONAL |
| Sole proprietor | No |
| NPI enumerated | December 4, 2015 |
| Last updated in NPPES | December 4, 2015 |
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