Organization · Type 2 NPI
Nicole Rue, Psy.d., LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Jackson, WY
NPI number
1295211787
Active
Practice location
1115 Maple Way Ste D
Jackson, WY 83001-8567
Mailing address
PO Box 11891
Jackson, WY 83002-1891
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 656 (WY) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1295211787
Nicole Rue, Psy.d., LLC's National Provider Identifier is 1295211787, issued on Jul 17, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Jackson, WY. The record was last updated on Jul 17, 2018.