Organization
NICOLE RUE, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE RUE PSYD (PSYCHOLOGIST)
(307) 690-2763
Entity
Organization
Contact information
Practice address
1115 MAPLE WAY STE D, JACKSON, WY 83001-8567
(307) 690-2763
Mailing address
PO BOX 11891, JACKSON, WY 83002-1891
(307) 690-2763
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
656
WY
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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