Individual provider · Type 1 NPI
Nicholl Olivares Rodriguez, PPC
Counselor · Jackson, WY
NPI number
1740898303
Active
Practice location
140 E Broadway Ave # B-13
Jackson, WY 83001-8632
Mailing address
825 Hi Country Dr
Jackson, WY 83001-9442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | PPC-1196 (WY) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2 other providers at this address
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About NPI 1740898303
Nicholl Olivares Rodriguez, PPC's National Provider Identifier is 1740898303, issued on Jul 20, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jackson, WY. The record was last updated on Jul 20, 2020.