Organization
SILVER SPARK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD JACKSON (LCPC)
(406) 794-8951
Entity
Organization
Contact information
Practice address
1220 AVENUE C APT F, BILLINGS, MT 59102-3200
(406) 794-8951
Mailing address
PO BOX 22982, BILLINGS, MT 59104-2982
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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