Search › Wyoming › 101YA0400X
Brenda Jacob, MS, CCDC III, LAT
NPI 1780812214 · on the registry since 2009 · sole proprietor
Practice
- Address
- 113 S Gillette Ave
Gillette, WY 82716 - Phone
- (307) 685-6982
- Fax
- (307) 685-8054
- Organisation at this address
- Himes Counseling Llc
Courage To Change Llc
Sacred Start Counseling
Wojciech Zolcik, M.D., P.C.
Peaceful Rehabilitation LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- WY, SD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming