# JAYNE ROSSO SEABROOK COUNSELING, LLC

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

## Provider details

- **NPI number:** 1821587304
- **Authorized official:** JAYNE ROSSO SEABROOK LCSW (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (406) 360-3730

## Contact information

- **Practice address:** 800 KENSINGTON AVE STE LL2, MISSOULA, MT 59801-5670
- **Practice address phone:** (406) 360-3730
- **Mailing address:** PO BOX 3453, MISSOULA, MT 59806-3453
- **Mailing address phone:** (406) 360-3730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | BBH-LCSW-LIC-12361 | MT | Yes |

## Other

- **Enumeration date:** 05/09/2018
- **Last updated:** 05/09/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5C0F57BA44 | — | MT |