Elledge, Julie

Elledge, Julie is an sole proprietor health care provider with primary practice located at 610 W Broadway Ave 109, Jackson WY 83001-8213. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Elledge, Julie can be contacted via phone (307) 200-8777.

Contact Information

Primary practice address
610 W Broadway Ave 109 Jackson WY 83001-8213
Phone: (307) 200-8777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT182 Wyoming
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC33952 California

Profile Details

NPI number 1316346497
LBN Legal business name Elledge, Julie
Credentials LMFT182
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2014
Last updated Aug 14th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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