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Organization
PONDEROSA COUNSELING AND THERAPEUTIC SERVICES, LLC
Active
Organization
PONDEROSA COUNSELING AND THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE JACOBSEN LCSW (OWNER)
(406) 640-3242
Entity
Organization
Contact information
Practice address
643 DENVER ST STE 100, WHITEFISH, MT 59937-3498
(406) 640-3242
Mailing address
704 13TH ST E., STE C, PMB# 660, WHITEFISH, MT 59937
(406) 640-3242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
10/09/2026
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