JENNIFER AGGER KANDOLIN (NPI# 1952518086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952518086 |
Entity Type | Individual |
Full Name | JENNIFER AGGER KANDOLIN |
Credential | M.S, LPC |
Practice Address |
420 South Jackson St. Jackson WY 83002 |
Mailing Address |
Po Box 8322 Jackson WY 83002-8322 |
Practice Telephone | 3074130536 |
Mailing Telephone | 3074130536 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
832 | WY | Behavioral Health & Social Service Providers |
Street Address |
420 SOUTH JACKSON ST. |
City | JACKSON |
State | WY |
Zip Code | 83002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659836336 | Casey Orzech | Registered Nurse | 4584 Fishing Club Drive, Jackson, WY 83002 | 2019-02-06 |
1093050510 | Irene Ann Nelson | Physician Assistant | 1490 Gregory Lane, Jackson, WY 83002 | 2012-12-10 |
1548590102 | Amy Pitman | Social Worker | 460 Cache Street, Jackson, WY 83002 | 2010-01-05 |
1669606943 | Canyon River Staffing | Nursing Care | 265 Blair Dr, Apt A, Jackson, WY 83002 | 2009-05-14 |
1477745842 | Catherine Haynes Wuthrich | Psychiatry & Neurology | 2092 Lilac Lane, Jackson, WY 83002 | 2007-08-09 |
1992828503 | Ann M Fenn | Obstetrics & Gynecology | 62 Redmond St, Jackson, WY 83002 | 2007-04-09 |
1295863504 | Chad Roberts | Optometrist | 110 Buffalo Way, Ste A, Jackson, WY 83002 | 2007-02-28 |
1972645315 | Wyoming Eye Care Inc PC | Optometrist | 110 Buffalo Way St A, Jackson, WY 83002 | 2007-02-13 |
1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
1639249550 | Laura Vignaroli | Family Medicine | 62 Redmond, Jackson, WY 83002 | 2006-11-08 |
Find all providers in zip 83002 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629677893 | Jackson Healing Clinic LLC | Counselor | 2020 Cascade Dr, Jackson, MI 49203-3810 | 2020-10-20 |
1568069524 | Philip Ray Nicholas | Counselor | 19 Wood Duck Cv, Jackson, TN 38305-6632 | 2020-10-02 |
1184242711 | New Life Goals, LLC | Counselor | 504 Cooper Rd, Jackson, MS 39212-4704 | 2020-07-09 |
1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
1962023812 | Kandace Ross | Counselor | 528 Woodbury Rd, Jackson, MS 39206-4830 | 2020-05-01 |
1629600945 | Modern Hope of Ms,llc | Counselor | 5825 Kings Pl, Jackson, MS 39211-3321 | 2020-02-05 |
1003447657 | Chandler & Associates, LLC | Counselor | 1900 Dunbarton Dr Ste G, Jackson, MS 39216-5015 | 2020-02-03 |
1659910701 | Laura E Rutledge | Counselor | 1437 Old Square Rd Ste 101, Jackson, MS 39211-5533 | 2020-01-06 |
1154960961 | Timothy A Norris | Counselor | 5026 Raintree Dr, Jackson, MS 39272-5753 | 2019-12-26 |
1982243838 | Paula Jane Blocker | Counselor | 401 West St Ste 117, Jackson, MN 56143-1219 | 2019-12-24 |
Find all providers in JACKSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.