IDEL ENRIQUEZ

Mental Health Counselor

NPI: 1902612070Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

PPC-1551(WY)

Contact & Hours

Address: 420 W PEARL AVE FL 2
JACKSON, WY 83001
Phone: (307) 734-6040

Quick Facts

NPI: 1902612070
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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