Individual
LENKA CERVENANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 E BROADWAY AVE, JACKSON, WY 83001-8632
(307) 690-5577
Mailing address
PO BOX 12091, JACKSON, WY 83002-2091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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