-- LEAH B CHASE -- PPC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1982983342- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PPC
- Status
- Active
Contact & Location
- Address
- 640 E BROADWAY, JACKSON, WY, 830011868
- Phone
- (307) 733-2046
- Fax
- (307) 733-6289
Specialties & Taxonomies
Counselor, Professional
Primary License: WY #PPC-429