| Mrs Brenda Lavonne Jacob, MS, CCDC III, LAT | |
|
113 S Gillette Ave, Gillette, WY 82716-3740 | |
| (307) 685-6982 | |
| (307) 685-8054 |
| Full Name | Mrs Brenda Lavonne Jacob |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 113 S Gillette Ave, Gillette, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780812214 | NPI | - | NPPES |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brenda Lavonne Jacob, MS, CCDC III, LAT 701 Fairway Dr, Gillette, WY 82718-7605 Ph: (307) 689-0666 | Mrs Brenda Lavonne Jacob, MS, CCDC III, LAT 113 S Gillette Ave, Gillette, WY 82716-3740 Ph: (307) 685-6982 |
Jean-raphael De Raoulx, PPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Warren Ave, Gillette, WY 82716 Phone: 307-682-2034 | |
Ms. Judeth Petersen, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-5000 Fax: 307-688-5015 | |
Jane R King, LPC Counselor Medicare: Medicare Enrolled Practice Location: 702 S Kendrick Ave, Gillette, WY 82716 Phone: 307-688-8700 | |
Tara Reed, M.A., NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 West 4-j Rd., Gillette, WY 82718 Phone: 307-682-5433 | |
Rebecca N Terry, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Warren Ave, Gillette, WY 82716 Phone: 307-682-3024 | |
Miss Stephanie Berens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 812 E 4th St, Gillette, WY 82716 Phone: 073-257-7180 Fax: 307-257-7183 | |
Ms. Sarah Leger-hayworth, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 E 4th St Ste 9, Gillette, WY 82716 Phone: 307-257-2290 |