Jacquelyn Ralph, PPC

NPI #1003307240 in Laramie, Wyoming

Provider Information

NPI Number: 1003307240
Entity Type: Individual
Name: Jacquelyn Ralph, PPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: PPC
Enumeration Date: May 23, 2018
Last Updated: Jun 6, 2021

Practice Location

Address: 1575 N 4TH ST STE 103
City: Laramie
State: Wyoming
ZIP Code: 82072-2091
Phone: (307) 721-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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