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Organization
JAYNE ROSSO SEABROOK COUNSELING, LLC
Active
Organization
JAYNE ROSSO SEABROOK COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE ROSSO SEABROOK LCSW (LICENSED CLINICAL SOCIAL WORKER)
(406) 360-3730
Entity
Organization
Contact information
Practice address
800 KENSINGTON AVE STE LL2, MISSOULA, MT 59801-5670
(406) 360-3730
Mailing address
PO BOX 3453, MISSOULA, MT 59806-3453
(406) 360-3730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-12361
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5C0F57BA44
—
MT
Enumeration date
05/09/2018
Last updated
05/09/2018
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