Ms Cheryl Ann Renzulli, MA, LAT - Counselor in Jackson, WY

Ms Cheryl Ann Renzulli, MA, LAT is a Counselor - Addiction (substance Use Disorder) based in Jackson, Wyoming. Ms Cheryl Ann Renzulli is licensed to practice in Wyoming (license number LAT #324) and her current practice location is 1115 Maple Way, Suite C, Jackson, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 699-0807.

NPI number for Ms Cheryl Ann Renzulli is 1093255242 and her current mailing address is Po Box 9615, Jackson, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093255242.

Contact Information

Ms Cheryl Ann Renzulli, MA, LAT
1115 Maple Way, Suite C,
Jackson, WY 83001-8567
(307) 699-0807
(307) 733-7339

Map and Direction


Healthcare Provider's Profile

Full NameMs Cheryl Ann Renzulli
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1115 Maple Way, Jackson, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093255242
  • Provider Enumeration Date: 03/06/2017
  • Last Update Date: 03/06/2017

Medical Identifiers

Medical identifiers for Ms Cheryl Ann Renzulli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093255242NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LAT #324 (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Cheryl Ann Renzulli is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Cheryl Ann Renzulli, MA, LAT
Po Box 9615,
Jackson, WY 83002-9615

Ph: (307) 699-0807
Ms Cheryl Ann Renzulli, MA, LAT
1115 Maple Way, Suite C,
Jackson, WY 83001-8567

Ph: (307) 699-0807

Reviews and Comments


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