IndividualActive
Jackie Johner
NPI 1598145773 · Community/Behavioral Health Agency · Gillette, WY
Provider details
- NPI number
- 1598145773
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
2900 Harder Dr
Gillette, WY 82718-6137
Phone: (307) 363-0424
Approximate (ZIP-level) locationGet directions
Mailing address
2900 Harder Dr
Gillette, WY 82718-6137
Registry dates
- Enumerated
- 2015-06-03
- Last updated
- 2023-04-13
- Certified
- 2023-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.