Provider Demographics
NPI:1740597913
Name:STRAESSLER, JAMIE LF (MED)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LF
Last Name:STRAESSLER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MISS
Other - First Name:JAMIE
Other - Middle Name:LYNN
Other - Last Name:FRAZIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:320 N ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:WY
Mailing Address - Zip Code:82834-1711
Mailing Address - Country:US
Mailing Address - Phone:307-620-1507
Mailing Address - Fax:
Practice Address - Street 1:320 N ADAMS AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:WY
Practice Address - Zip Code:82834-1711
Practice Address - Country:US
Practice Address - Phone:307-620-1507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1139101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional