JACKSON HOLE MENTAL HEALTH LLC
Organization (NPI-2)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1053704726- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 310 E BROADWAY AVE, JACKSON, WY, 830018636
- Phone
- (307) 654-7003
Specialties & Taxonomies
Social Worker, Clinical
Primary License: WY #742