Individual
JENNIFER MARIE GOGOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
389 ADAMS STREET, AFTON, WY 83110-0000
(307) 885-9223
(307) 885-5206
Mailing address
PO BOX 376, AFTON, WY 83110-0376
(307) 885-9883
(307) 885-5206
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1493
WY
Other
Enumeration date
07/29/2011
Last updated
02/03/2016
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