Eboni Shantelle Jackson
Eboni Shantelle Jackson is a Peer Specialist in Cody, Wyoming. Works from 3 locations. Licensed in Wyoming.
- Licensed in
- WY
- In the registry since
- 2025
Practice location Address checks out
707 Sheridan AveCody, WY 82414-3409
Phone: (307) 578-2486
Fax: (307) 578-2247
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 507 N Clark St, Powell, WY 82435-1915 — (307) 754-7970
- 125 S Division St, Powell, WY 82435-2409 — (307) 754-7970
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 190 (WY) |
|---|
Record details
| NPI number | 1265229595 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 21, 2025 |
| Last updated in NPPES | March 5, 2026 |
| Certification date | March 5, 2026 |
| Mailing address | 707 Sheridan Ave, Cody, WY 82414-3409 |
Other providers in Cody
-
Jaqueline Fales, PEERSUPPORTSPECIAL
707 Sheridan Ave, Cody, WY 82414-3409 · (307) 250-7063