JEANNINE R WILLISON

CUT BANK, MT
NPI1477874246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  1150)
Enumeration Date2010-06-16
Last Update Date2010-07-19
Business Address
-- JEANNINE R WILLISON LAC
1210 E MAIN ST
CUT BANK, MT 59427-3152
Phone number: 406-873-2155
Mailing Address
-- JEANNINE R WILLISON LAC
215 S KANSAS ST
CONRAD, MT 59425-1928
Phone number: 406-873-2155