Individual
MR. MARIANNE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1305 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9770
(406) 541-3034
Mailing address
3255 LT MOSS RD, MISSOULA, MT 59804-7220
(406) 532-8426
(406) 543-9316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1041CO700X
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13782369
CAQH
MT
Enumeration date
03/11/2016
Last updated
03/11/2016
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