GLENN JACOB FAIRHURST

GREAT FALLS, MT
NPI1982467361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MT  BBHPCLCLIC70082)
Enumeration Date2024-01-30
Last Update Date2024-01-30
Business Address
GLENN JACOB FAIRHURST
33 DIVISION RD UNIT 1
GREAT FALLS, MT 59404-1410
Phone number: 406-781-2074
Mailing Address
GLENN JACOB FAIRHURST
33 DIVISION RD UNIT 1
GREAT FALLS, MT 59404-1410
Phone number: 406-781-2074
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