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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