# PONDEROSA COUNSELING AND THERAPEUTIC SERVICES, LLC

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

## Provider details

- **NPI number:** 1700403243
- **Authorized official:** KYLE JACOBSEN LCSW (OWNER)
- **Authorized official phone:** (406) 640-3242

## Contact information

- **Practice address:** 643 DENVER ST STE 100, WHITEFISH, MT 59937-3498
- **Practice address phone:** (406) 640-3242
- **Mailing address:** 704 13TH ST E., STE C, PMB\# 660, WHITEFISH, MT 59937
- **Mailing address phone:** (406) 640-3242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2020
- **Last updated:** 10/09/2026