| NPI | 1750712808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY JENNINGS Lmft, Lcpc 406-370-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT swplcpclic4670) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2014-01-15 |