“Addiction (substance Use Disorder) Counselor” (Jackson, WY)

Location: Jackson, WY
Taxonomy: Addiction (substance Use Disorder) Counselor.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.

1093255242 — MS. CHERYL ANN RENZULLI MA, LAT

Practice Location Address:

1115 MAPLE WAY SUITE C
JACKSON WY
83001-8567

Practice Phone: 307-699-0807

1093255242 mobile

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1225469661 — ROBERT BRAGG LAT

Practice Location Address:

610 W BROADWAY AVE STE L1
JACKSON WY
83001-8213

Practice Phone: 307-733-3908

1225469661 mobile

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1265673388 — CHARLOTTE HALE ALEXANDER LCSW

Practice Location Address:

480 S CACHE ST # 15
JACKSON WY
83001-8222

Practice Phone: 307-732-6670

1265673388 mobile

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1265844815 — RYAN BURKE LPC

Practice Location Address:

610 W BROADWAY AVE STE L1
JACKSON WY
83001-8213

Practice Phone: 307-733-3908

1265844815 mobile

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1629307558 — EDDIE RYAN LCSW

Practice Location Address:

610 W. BROADWAY SUITES SUITE L1
JACKSON WY
83001

Practice Phone: 307-733-3908

1629307558 mobile

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1649509084 — TRUDYLYNN BIRKEMEYER FUNK LCSW

Practice Location Address:

610 W. BROADWAY SUITES SUITE L1
JACKSON WY
83001

Practice Phone: 307-733-3908

1649509084 mobile

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1841665668 — ANNE ELLINGSON PROVISIONAL

Practice Location Address:

610 W BROADWAY AVE SUITE L1
JACKSON WY
83001-8213

Practice Phone: 307-733-3908

1841665668 mobile

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1861625402 — MR. CURTIS E CRETAL MAC

Practice Location Address:

140 E BROADWAY STE #25
JACKSON WY
83002-7482

Practice Phone: 307-732-4199

1861625402 mobile

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