Individual
NANCY A WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
555 E BROADWAY AVE STE 201, JACKSON, WY 83001-8640
(307) 733-7222
(307) 733-9720
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 733-3636
(877) 205-2024
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
42785
MT
101YP2500X
Professional Counselor
Primary
LPC-1890
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42785
STATE LICENSE
MT
Enumeration date
04/01/2020
Last updated
01/06/2021
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