Individual
MS. ELIZABETH KINGWILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. L.P.C.
Contact information
Practice address
988 BUDGE DR, JACKSON, WY 83001-8651
(307) 733-5680
Mailing address
PO BOX 2280, JACKSON, WY 83001-2280
(307) 733-5680
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
051
WY
Other
Enumeration date
04/11/2008
Last updated
08/18/2022
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