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Organization
ELPIZO MENTAL HEALTH COUNSELING MINISTRY INC.
Active
Organization
ELPIZO MENTAL HEALTH COUNSELING MINISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE BRADY LPC (INCORPORATOR)
(907) 444-8683
Entity
Organization
Contact information
Practice address
30 N GOULD ST STE 9410, SHERIDAN, WY 82801-6317
(855) 573-4980
Mailing address
30 N GOULD ST STE 9410, SHERIDAN, WY 82801-6317
(855) 573-4980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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