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Individual
JESSICA D KOFFLER
Active
Individual
JESSICA D KOFFLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
BBH-LCPC-LIC-45311
MT
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-45311
MT
Other
Enumeration date
02/12/2021
Last updated
08/24/2025
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