| Alpenglow Counseling Services, Llc | |
|
357 W. Deloney C-17 Jackson WY 83001 | |
| (307) 690-7814 | |
| Not Available |
| Full Name | Alpenglow Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 357 W. Deloney, Jackson, Wyoming |
| Authorized Official Name and Position | Melanie Gayle Burkholder (OWNER) |
| Authorized Official Contact | 3076907814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpenglow Counseling Services, Llc Po Box 6820 Jackson WY 83002-6820 Ph: (307) 690-7814 | Alpenglow Counseling Services, Llc 357 W. Deloney C-17 Jackson WY 83001 Ph: (307) 690-7814 |
| NPI Number | 1679701312 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 07/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679701312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1085 (Wyoming) | Primary |
| 251S00000X | Community/behavioral Health | 1534 (Tennessee) | Secondary |
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