person
Anne Ellingson, PROVISIONAL
Addiction (Substance Use Disorder) Counselor in Jackson, Wyoming
NPI 1841665668

Anne Ellingson is an Addiction (Substance Use Disorder) Counselor based in Jackson, WY and is specialized in Addiction (Substance Use Disorder). Anne Ellingson practices in Jackson, WY and has the professional credentials of PROVISIONAL. The NPI Number for Anne Ellingson is 1841665668 and holds a License No. PAT-073 (Wyoming).

The current practice location address for Anne Ellingson is 610 W Broadway Ave, 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, Jackson, WY, 83002-1390
person
Provider Profile Details
NPI Number
1841665668
Provider Name
Anne Ellingson
Credential
PROVISIONAL
Provider Entity Type
Individual
Gender
Female
Address
610 W Broadway Ave, Jackson, WY, 83002-1390
Phone Number
307-733-3908
Fax Number
307-734-0017
Provider Enumeration Date
12/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
610 W Broadway Ave
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
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.
PAT-073 (Wyoming)
Definition
Definition to come...
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