Individual provider · Type 1 NPI

Cheryl Ann Renzulli, MA, LAT

Addiction (Substance Use Disorder) Counselor · Jackson, WY

NPI number 1093255242 Active

Practice location

1115 Maple Way, Suite C
Jackson, WY 83001-8567

Call (307) 699-0807 Map

Fax (307) 733-7339

Mailing address

PO Box 9615
Jackson, WY 83002-9615

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLAT #324 (WY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093255242

Cheryl Ann Renzulli, MA, LAT's National Provider Identifier is 1093255242, issued on Mar 6, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, WY. The record was last updated on Mar 6, 2017.