NPI 1316346497

Julie Elledge, LMFT

Practitioner Marriage & Family Therapist Jackson, WY

Practice location

Address: 610 W Broadway Ave 109, Jackson, WY 83001-8213
Phone: (307) 200-8777
Mailing address: 220 W Pearl Ave 3501, Jackson, WY 83001-8406

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence LMFT182 (WY)

Other Marriage & Family Therapist providers in Wyoming →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFC33952 (CA)

Registry record

NPI: 1316346497
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2014
Record last updated: 14 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.