JAYDEE LYNN WEATHERWAX

MISSOULA, MT
NPI1497464168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  BBH-ACLC-LIC-58873)
Enumeration Date2022-11-21
Last Update Date2022-12-13
Business Address
JAYDEE LYNN WEATHERWAX
1515 S RUSSELL ST
MISSOULA, MT 59801-3629
Phone number: 406-829-9515
Mailing Address
JAYDEE LYNN WEATHERWAX
2100 STEPHENS AVE STE 105
MISSOULA, MT 59801-6607
Phone number: 406-829-9515
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