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Organization
DIVERSIFIED THERAPEUTIC SERVICES, PLLC
Active
Organization
DIVERSIFIED THERAPEUTIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON HOKANSON SWLC (MSW THERAPIST)
(406) 290-9039
Entity
Organization
Contact information
Practice address
30 E WASHINTON ST, SUITE A, KALISPELL, MT 59901
(406) 471-4296
Mailing address
175 HUTTON RANCH RD STE 103, KALISPELL, MT 59901-2142
(406) 471-4296
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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