Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CHERYL ANN RENZULLI, MA, LAT
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · JACKSON, WY
Registration Details
- NPI Number
- 1093255242
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2017 (9.1294654018702 yrs)
- Last Updated
- Mar 6, 2017
- License
-
LAT #324 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1115 MAPLE WAYSUITE CJACKSON, WY, 830018567Browse WY providers · Browse ZIP 83001
- Phone
- 3076990807
- Fax
- 3077337339
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in JACKSON, WY
| Name | Credential | NPI |
|---|---|---|
| MR. CURTIS E CRETAL | MAC | 1861625402 |
| TRUDYLYNN BIRKEMEYER FUNK | LCSW | 1649509084 |
| EDDIE RYAN | LCSW | 1629307558 |
| ROBERT BRAGG | LAT | 1225469661 |
| RYAN BURKE | LPC | 1265844815 |
| ANNE ELLINGSON | PROVISIONAL | 1841665668 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.