Jacquelyn Ralph, PPC - Counselor in Laramie, WY

Jacquelyn Ralph, PPC is a Counselor - Mental Health based in Laramie, Wyoming. Jacquelyn Ralph is licensed to practice in Wyoming (license number PPC-1254) and her current practice location is 1575 N 4th St Ste 103, Laramie, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 721-0700.

NPI number for Jacquelyn Ralph is 1003307240 and her current mailing address is 1575 N 4th St Ste 103, Laramie, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003307240.

Contact Information

Jacquelyn Ralph, PPC
1575 N 4th St Ste 103,
Laramie, WY 82072-2091
(307) 721-0700
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJacquelyn Ralph
GenderFemale
SpecialityCounselor - Mental Health
Location1575 N 4th St Ste 103, Laramie, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003307240
  • Provider Enumeration Date: 05/23/2018
  • Last Update Date: 06/06/2021

Medical Identifiers

Medical identifiers for Jacquelyn Ralph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003307240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health PPC-1254 (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn Ralph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacquelyn Ralph, PPC
1575 N 4th St Ste 103,
Laramie, WY 82072-2091

Ph: (307) 721-0700
Jacquelyn Ralph, PPC
1575 N 4th St Ste 103,
Laramie, WY 82072-2091

Ph: (307) 721-0700

Reviews and Comments


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