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Individual

DONNA J. ANDRUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
125 E PEARL AVE, JACKSON, WY 83001-8599
(307) 730-4793
Mailing address
PO BOX 102, JACKSON, WY 83001-0102
(307) 730-4793

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-446
WY
101YP2500X
Professional Counselor
1174
WY

Other

Enumeration date
10/31/2008
Last updated
08/31/2015
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