person
Robert Bragg, LAT
Addiction (Substance Use Disorder) Counselor in Jackson, Wyoming
NPI 1225469661

Robert Bragg is an Addiction (Substance Use Disorder) Counselor based in Jackson, WY and is specialized in Addiction (Substance Use Disorder). Robert Bragg practices in Jackson, WY and has the professional credentials of LAT. The NPI Number for Robert Bragg is 1225469661 and holds a License No. LAT-202 (Wyoming).

The current practice location address for Robert Bragg is 610 W Broadway Ave Ste L1, Jackson, WY and can be reached out via phone at 307-733-3908 and via fax at 307-734-0017.

Location: 610 W Broadway Ave Ste L1, Jackson, WY, 83002-1390
person
Provider Profile Details
NPI Number
1225469661
Provider Name
Robert Bragg
Credential
LAT
Provider Entity Type
Individual
Gender
Male
Address
610 W Broadway Ave Ste L1, Jackson, WY, 83002-1390
Phone Number
307-733-3908
Fax Number
307-734-0017
Provider Enumeration Date
12/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
610 W Broadway Ave Ste L1
City
State
Zip
83001-8213
Phone Number
307-733-3908
Fax Number
307-734-0017
person
Provider Business Mailing Address Details
Address
610 W Broadway Ave Ste L1
City
State
Zip
83001-8213
Phone Number
307-733-3908
Fax Number
307-734-0017
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LAT-202 (Wyoming)
Definition
Definition to come...
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