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1841790524
MELODY JACKSON
BOZEMAN, MT
NPI
1841790524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MT BBH-LCPC-LIC-29806)
Enumeration Date
2018-02-19
Last Update Date
2018-02-19
Business Address
MELODY JACKSON LCPC
699 FARMHOUSE LN
BOZEMAN, MT 59715-9402
Phone number: 406-556-6500
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Mailing Address
MELODY JACKSON LCPC
699 FARMHOUSE LN
BOZEMAN, MT 59715-9402
Phone number: 406-556-6500
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