ROBERT BRAGG, LAT
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1225469661
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | LAT-202 (WY) |
Frequently Asked Questions
NPI 1225469661 is the National Provider Identifier for ROBERT BRAGG, LAT, a Counselor - Addiction (Substance Use Disorder) provider located in Jackson, WY. This NPI was enumerated on December 11, 2013.
ROBERT BRAGG, LAT practices at 610 W BROADWAY AVE STE L1, Jackson, WY 83001.
Quick Facts
- NPI
- 1225469661
- Type
- Individual
- Enumerated
- Dec 11, 2013
- Last Updated
- Dec 11, 2013
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