Robert Bragg, LAT
Robert Bragg, LAT is an Addiction (Substance Use Disorder) Counselor in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2013.
- Licensed in
- WY
- In the registry since
- 2013
What do these letters mean?
- LAT — Licensed Athletic Trainer
- A state-licensed athletic trainer.
Practice location Address checks out
610 W Broadway Ave Ste L1Jackson, WY 83001-8213
Phone: (307) 733-3908
Fax: (307) 734-0017
Show map & directions
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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 LAT-202 (WY) |
|---|
Record details
| NPI number | 1225469661 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LAT |
| Sole proprietor | No |
| NPI enumerated | December 11, 2013 |
| Last updated in NPPES | December 11, 2013 |
| Mailing address | Po Box 11390, Jackson, WY 83002-1390 |
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Charlotte Hale Alexander, LCSW
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-
Trudylynn Birkemeyer Funk, LCSW
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-
Ryan Burke, LPC
610 W Broadway Ave Ste L1, Jackson, WY 83001-8213 · (307) 733-3908
-
Mr. Curtis E Cretal, MAC
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Anne Ellingson, PROVISIONAL
610 W Broadway Ave Ste L1, Jackson, WY 83001-8213 · (307) 733-3908
-
MS. Cheryl Ann Renzulli, MA, LAT
1115 Maple Way Ste C, Jackson, WY 83001-8567 · (307) 699-0807