# ELKHORN PROFESSIONAL SERVICES

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

## Provider details

- **NPI number:** 1760956098
- **Authorized official:** MR. FOREST HENNING LCSW LMFT (THERAPIST)
- **Authorized official phone:** (406) 531-0702

## Contact information

- **Practice address:** 101 E BROADWAY ST STE 405, MISSOULA, MT 59802-4510
- **Practice address phone:** (406) 531-0702
- **Mailing address:** PO BOX 4821, MISSOULA, MT 59806-4821
- **Mailing address phone:** (406) 531-0702

## Taxonomy

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

## Other

- **Enumeration date:** 01/21/2019
- **Last updated:** 01/21/2019