ANNE ELLINGSON, PROVISIONAL

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1841665668

Practice Address

610 W BROADWAY AVE
SUITE L1
Jackson, WY 83001

Phone: (307) 733-3908

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes PAT-073 (WY)

Frequently Asked Questions

NPI 1841665668 is the National Provider Identifier for ANNE ELLINGSON, PROVISIONAL, a Counselor - Addiction (Substance Use Disorder) provider located in Jackson, WY. This NPI was enumerated on December 4, 2015.
ANNE ELLINGSON, PROVISIONAL practices at 610 W BROADWAY AVE, SUITE L1, Jackson, WY 83001.

Quick Facts

NPI
1841665668
Type
Individual
Enumerated
Dec 4, 2015
Last Updated
Dec 4, 2015

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