Anne Ellingson, PROVISIONAL is an addiction (substance use disorder) counselor in Jackson, WY. Anne Ellingson, PROVISIONAL NPI is 1841665668. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
610 W BROADWAY AVE
SUITE L1
JACKSON, WY
ZIP 83001-213
Phone: (307) 733-3908
Fax: (307) 734-0017
The enumeration date for this NPI number is 12/4/2015 and was last updated on 12/4/2015.