JESSICA MINN BLACK

RED LODGE, MT
NPI1104678440
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MT  BBH-LCPC-LIC-70494)
Enumeration Date2024-04-02
Last Update Date2024-11-01
Business Address
JESSICA MINN BLACK LCPC
6804 US HIGHWAY 212
RED LODGE, MT 59068-9310
Phone number: 406-213-6618
Mailing Address
JESSICA MINN BLACK LCPC
PO BOX 103
RED LODGE, MT 59068-0103
Phone number: 406-213-6618
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