Individual provider · Type 1 NPI
Robert Bragg, LAT
Addiction (Substance Use Disorder) Counselor · Jackson, WY
NPI number
1225469661
Active
Practice location
610 W Broadway Ave Ste L1
Jackson, WY 83001-8213
Fax (307) 734-0017
Mailing address
PO Box 11390
Jackson, WY 83002-1390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LAT-202 (WY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
Other addiction (substance use disorder) counselor providers in Jackson
- Cheryl Ann Renzulli, MA, LATAddiction (Substance Use Disorder) Counselor Jackson, WY NPI 1093255242
- Ryan Burke, LPCAddiction (Substance Use Disorder) Counselor Jackson, WY NPI 1265844815
- Eddie Ryan, LCSWAddiction (Substance Use Disorder) Counselor Jackson, WY NPI 1629307558
- Trudylynn Birkemeyer Funk, LCSWAddiction (Substance Use Disorder) Counselor Jackson, WY NPI 1649509084
- Anne Ellingson, PROVISIONALAddiction (Substance Use Disorder) Counselor Jackson, WY NPI 1841665668
- Curtis E. Cretal, MACAddiction (Substance Use Disorder) Counselor Jackson, WY NPI 1861625402
About NPI 1225469661
Robert Bragg, LAT's National Provider Identifier is 1225469661, issued on Dec 11, 2013. 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 Dec 11, 2013.