# JAMIE RODRIGUEZ LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265853667
- **Authorized official:** MRS. JAMIE DANIELLE RODRIGUEZ LCSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (406) 465-9738

## Contact information

- **Practice address:** 104 W CUSTER AVE, SUITE 1, HELENA, MT 59602-0106
- **Practice address phone:** (406) 465-9738
- **Practice address fax:** (406) 442-6369
- **Mailing address:** PO BOX 772, BOULDER, MT 59632-0772
- **Mailing address phone:** (406) 465-9738
- **Mailing address fax:** (406) 442-6369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 647-LCSW | MT | Yes |

## Other

- **Enumeration date:** 01/02/2014
- **Last updated:** 01/02/2014
