| Donna J. Andrus | |
|
125 E Pearl Ave Jackson WY 83001-8599 | |
| (307) 730-4793 | |
| Not Available |
| Full Name | Donna J. Andrus |
|---|---|
| Speciality | Counselor - Professional |
| Location | 125 E Pearl Ave, Jackson, Wyoming |
| Authorized Official Name and Position | Donna Andrus (LPC) |
| Authorized Official Contact | 3077304793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna J. Andrus Po Box 102 Jackson WY 83001-0102 Ph: (307) 730-4793 | Donna J. Andrus 125 E Pearl Ave Jackson WY 83001-8599 Ph: (307) 730-4793 |
| NPI Number | 1740763903 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740763903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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