Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholl Olivares Rodriguez, PPC

Individual provider Counselor · NPI 1740898303

Nicholl Olivares Rodriguez, PPC is a Counselor in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2020.

Licensed in
WY
In the registry since
2020

Practice location Address checks out

140 E Broadway Ave # B-13
Jackson, WY 83001-8632
Phone: (307) 413-6528
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence PPC-1196 (WY)

Record details

NPI number1740898303
Entity typeIndividual (Type 1)
GenderFemale
Credentials PPC
Sole proprietorNo
NPI enumeratedJuly 20, 2020
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020

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