-- ROBERT BRAGG -- LAT
Individual Provider (NPI-1)
Active
Counselor, Addiction (Substance Use Disorder)
Provider Information
- NPI Number
1225469661- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LAT
- Status
- Active
Contact & Location
- Address
- 610 W BROADWAY AVE STE L1, JACKSON, WY, 830018213
- Phone
- (307) 733-3908
- Fax
- (307) 734-0017
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
Primary License: WY #LAT-202