Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 1062 | WY |
N | 101YM0800X | Mental Health Counselor | 1062 | WY |
Y | 101YP2500X | Professional Counselor | 1062 | WY |
NPI | 1003005273 |
---|---|
Provider Name | Mrs. Sheri Ann Elliott |
First Address | Sheridan, WY 82801-3282 |
Second Address | Sheridan, WY 82801-3282 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2007 |
Last Update Date | 30/12/2015 |