IndividualActive
Anne Ellingson, PROVISIONAL
NPI 1841665668 · Addiction (Substance Use Disorder) Counselor · Jackson, WY
Provider details
- NPI number
- 1841665668
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- PROVISIONAL
- Sex
- Female
- Sole proprietor
- No
- License
- PAT-073 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
610 W Broadway Ave
Suite L1
Jackson, WY 83001-8213
Phone: (307) 733-3908
Fax: (307) 734-0017
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11390
Jackson, WY 83002-1390
Registry dates
- Enumerated
- 2015-12-04
- Last updated
- 2015-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.