JENNIFER AGGER KANDOLIN


Address: 420 South Jackson St., Jackson, WY 83002
Phone: 3074130536

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
832 WY Behavioral Health & Social Service Providers

Office Location

Street Address 420 SOUTH JACKSON ST.
City JACKSON
State WY
Zip Code 83002

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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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
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Competitor

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City JACKSON
Zip Code 83002

Improve Information

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Dataset Information

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.

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